# CHANGING PLACES FAMILY CARE HOME OF DURHAM, LLC

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

## Provider details

- **NPI number:** 1982061610
- **Authorized official:** MRS. HATTIE J DUNHAM BSN, RN (ADMINISTRATOR)
- **Authorized official phone:** (919) 697-7340

## Contact information

- **Practice address:** 725 HANSON RD, DURHAM, NC 27713-1117
- **Practice address phone:** (919) 697-7340
- **Practice address fax:** (919) 479-9055
- **Mailing address:** 725 HANSON ROAD, DURHAM, NORTH CAROLINA (NC) 27713
- **Mailing address phone:** (919) 248-0650
- **Mailing address fax:** (919) 908-8219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 03/07/2017