# HERBERT WAY OF LIVING, LLC

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

## Provider details

- **NPI number:** 1194051110
- **Authorized official:** BEVERLY J JENKINS (DIRECTOR)
- **Authorized official phone:** (919) 220-2370

## Contact information

- **Practice address:** 810 CARTMAN DR, DURHAM, NC 27704-2318
- **Practice address phone:** (919) 220-2370
- **Practice address fax:** (919) 317-8906
- **Mailing address:** PO BOX 15034, DURHAM, NC 27704-0034
- **Mailing address phone:** (919) 220-2370
- **Mailing address fax:** (919) 317-8906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-032-503 | NC | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 01/18/2010