Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
KEYWEST CENTER INC.
Active
Organization
KEYWEST CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY BULLOCK (ADMINISTRATOR)
(919) 682-9392
Entity
Organization
Contact information
Practice address
1722 ATHENS AVE., DURHAM, NC 27707-4312
(919) 682-9392
(919) 683-1774
Mailing address
1722 ATHENS AVE., DURHAM, NC 27707-4312
(919) 682-9392
(919) 683-1774
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-032-049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406548
—
NC
Enumeration date
01/16/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up