# KINDER LOVE HOMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134366388
- **Authorized official:** MRS. TAMETKA BLOUNT PITTMAN (CEO)
- **Authorized official phone:** (919) 454-7761

## Contact information

- **Practice address:** 1202 ELLIS RD, DURHAM, NC 27703-6027
- **Practice address phone:** (919) 454-7761
- **Practice address fax:** (919) 326-1699
- **Mailing address:** 908 PENNCROSS DR, RALEIGH, NC 27610-2185
- **Mailing address phone:** (919) 454-7761
- **Mailing address fax:** (919) 326-1699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 032458 | NC | Yes |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 01/09/2009