# HEALTHCORE RESOURCE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HealthCore Adolescent Residential Treatment III
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962832048
- **Authorized official:** IJEOMA E NWAEZE (CEO)
- **Authorized official phone:** (919) 872-1178

## Contact information

- **Practice address:** 821 BROOKHANNAH CT, FUQUAY VARINA, NC 27526-5138
- **Practice address phone:** (919) 872-1178
- **Practice address fax:** (919) 872-1170
- **Mailing address:** 1001 NAVAHO DR, SUITE 101, RALEIGH, NC 27609-7335
- **Mailing address phone:** (919) 872-1178
- **Mailing address fax:** (919) 872-1170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2013
- **Last updated:** 01/09/2015