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Pickett Grove Supervised Living
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, North Carolina
NPI 1669689766

Pickett Grove Supervised Living is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Durham, NC. Pickett Grove Supervised Living practices in Durham, NC. The NPI Number for Pickett Grove Supervised Living is 1669689766 and holds a License No. MHL 032244 (North Carolina).

The current practice location address for Pickett Grove Supervised Living is 3809 Pickett Rd, Durham, NC and can be reached out via phone at 919-403-9644 and via fax at 919-489-8489.

Location: 3809 Pickett Rd, Durham, NC, 27705-5331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669689766
Provider Name
Pickett Grove Supervised Living
Credential
Provider Entity Type
Organization
Address
3809 Pickett Rd, Durham, NC, 27705-5331
Phone Number
919-403-9644
Fax Number
919-489-8489
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3809 Pickett Rd
City
Durham
State
North Carolina
Zip
27705-5331
Phone Number
919-403-9644
Fax Number
919-489-8489
person
Provider Business Mailing Address Details
Address
3809 Pickett Rd
City
Durham
State
North Carolina
Zip
27705-5331
Phone Number
919-403-9644
Fax Number
919-489-8489
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 032244 (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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