institution
Providence Place, Inc
Intellectual Disabilities Intermediate Care Facility in Durham, North Carolina
NPI 1801064118

Providence Place, Inc is a Intellectual Disabilities Intermediate Care Facility based in Morrisville, NC. Providence Place, Inc practices in Durham, NC. The NPI Number for Providence Place, Inc is 1801064118 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 919-767-9037.

Location: 916 Clayton Rd, Durham, NC, 27560-7061
institution
Provider Profile Details
NPI Number
1801064118
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
919-767-9037
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
916 Clayton Rd
City
State
Zip
27703-2608
Phone Number
919-767-9037
Fax Number
919-767-9037
person
Provider Business Mailing Address Details
Address
916 Clayton Rd
City
State
Zip
27703-2608
Phone Number
919-767-9037
Fax Number
919-767-9037
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
MHL-032-422 (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.
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