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Michael's Place Inc.
Private Vehicle in Durham, North Carolina
NPI 1518153683

Michael's Place Inc. is a Private Vehicle based in Durham, NC. Michael's Place Inc. practices in Durham, NC. The NPI Number for Michael's Place Inc. is 1518153683 and holds a License No. (North Carolina).

The current practice location address for Michael's Place Inc. is 2815 Cascadilla St, Durham, NC and can be reached out via phone at 919-957-7985 and via fax at 919-957-7985.

Location: 2815 Cascadilla St, Durham, NC, 27704-4411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518153683
Provider Name
Michael's Place Inc.
Credential
Provider Entity Type
Organization
Address
2815 Cascadilla St, Durham, NC, 27704-4411
Phone Number
919-957-7985
Fax Number
919-957-7985
Provider Enumeration Date
09/21/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6006190 05 NC
institution
Provider Business Practice Location Address Details
Address
2815 Cascadilla St
City
Durham
State
North Carolina
Zip
27704-4411
Phone Number
919-957-7985
Fax Number
919-957-7985
person
Provider Business Mailing Address Details
Address
2815 Cascadilla St
City
Durham
State
North Carolina
Zip
27704-4411
Phone Number
919-957-7985
Fax Number
919-957-7985
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-032-415 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL-032-415 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL-032-415 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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