Organization
IDEAL DAY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE HAZELWOOD (ADMINISTRATOR)
(919) 937-3437
Entity
Organization
Contact information
Practice address
2811 GUESS RD, DURHAM, NC 27705-2630
(919) 748-3037
Mailing address
PO BOX 21315, DURHAM, NC 27703-1315
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
04/20/2023
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