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Providence Place, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, North Carolina
NPI 1558411942

Providence Place, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Morrisville, NC. Providence Place, Inc. practices in Durham, NC. The NPI Number for Providence Place, Inc. is 1558411942 and holds a License No. MHL-032-422 (North Carolina).

The current practice location address for Providence Place, Inc. is 916 Clayton Rd, Durham, NC and can be reached out via phone at 919-767-9037 and via fax at 919-768-1090.

Location: 916 Clayton Rd, Durham, NC, 27560-7061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558411942
Provider Name
Providence Place, Inc.
Credential
Provider Entity Type
Organization
Address
916 Clayton Rd, Durham, NC, 27560-7061
Phone Number
919-767-9037
Fax Number
919-768-1090
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
916 Clayton Rd
City
Durham
State
North Carolina
Zip
27703-2608
Phone Number
919-767-9037
Fax Number
919-768-1090
person
Provider Business Mailing Address Details
Address
916 Clayton Rd
City
Durham
State
North Carolina
Zip
27703-2608
Phone Number
919-767-9037
Fax Number
919-768-1090
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-032-422 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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