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Peniel House, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clayton, North Carolina
NPI 1700322765

Peniel House, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Garner, NC. Peniel House, Llc practices in Clayton, NC. The NPI Number for Peniel House, Llc is 1700322765 and holds a License No. (North Carolina).

The current practice location address for Peniel House, Llc is 724 Yorkshire Dr, Clayton, NC and can be reached out via phone at 919-436-8298.

Location: 724 Yorkshire Dr, Clayton, NC, 27529-7358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700322765
Provider Name
Peniel House, Llc
Credential
Provider Entity Type
Organization
Address
724 Yorkshire Dr, Clayton, NC, 27529-7358
Phone Number
919-436-8298
Fax Number
Provider Enumeration Date
01/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
724 Yorkshire Dr
City
Clayton
State
North Carolina
Zip
27520-2973
Phone Number
919-436-8298
Fax Number
person
Provider Business Mailing Address Details
Address
724 Yorkshire Dr
City
Clayton
State
North Carolina
Zip
27520-2973
Phone Number
919-436-8298
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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