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Organization
HILLTOP HOME INC.
Active
Organization
HILLTOP HOME INC.
Active
Other names
Wake County Specialized Residential Home for Children, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE P. VAN HUSEN (EXECUTIVE DIRECTOR)
(919) 390-0045
Entity
Organization
Contact information
Practice address
2820 KIDD RD, RALEIGH, NC 27610-1842
(919) 231-8315
(919) 861-0015
Mailing address
PO BOX 46749, RALEIGH, NC 27620-6749
(919) 231-8315
(919) 861-0015
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-092-005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406020
—
NC
Enumeration date
01/22/2008
Last updated
03/29/2016
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