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Outreach Home # 3.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, North Carolina
NPI 1649496928

Outreach Home # 3. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Durham, NC. Outreach Home # 3. practices in Durham, NC. The NPI Number for Outreach Home # 3. is 1649496928 and holds a License No. MHL-032-355 (North Carolina).

The current practice location address for Outreach Home # 3. is 1717 N Alston Ave, Durham, NC and can be reached out via phone at 919-683-2707.

Location: 1717 N Alston Ave, Durham, NC, 27713-7571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649496928
Provider Name
Outreach Home # 3.
Credential
Provider Entity Type
Organization
Address
1717 N Alston Ave, Durham, NC, 27713-7571
Phone Number
919-683-2707
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805420 05 NC
institution
Provider Business Practice Location Address Details
Address
1717 N Alston Ave
City
Durham
State
North Carolina
Zip
27701-2301
Phone Number
919-683-2707
Fax Number
person
Provider Business Mailing Address Details
Address
1717 N Alston Ave
City
Durham
State
North Carolina
Zip
27701-2301
Phone Number
919-683-2707
Fax Number
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-032-355 (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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