# DIYAH'S HOME INC.

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

## Provider details

- **NPI number:** 1184649915
- **Authorized official:** MR. DAVID OMAR HAQQ MA (DIRECTOR)
- **Authorized official phone:** (910) 978-8599

## Contact information

- **Practice address:** 295 APPALOOSA DR, SPRING LAKE, NC 28390-8503
- **Practice address phone:** (910) 497-8599
- **Practice address fax:** (910) 436-5928
- **Mailing address:** 295 APPALOOSA DR, SPRING LAKE, NC 28390-8503
- **Mailing address phone:** (910) 497-8599
- **Mailing address fax:** (910) 436-5928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-026-583 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-043-045 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-043-056 | NC | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/22/2020