Organization
SKILL CREATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HACKMANN (CEO)
(919) 734-7398
Entity
Organization
Contact information
Practice address
1406 TYONEK DR, DURHAM, NC 27703-5638
(919) 734-7398
Mailing address
PO BOX 1636, GOLDSBORO, NC 27533-1636
(919) 734-7398
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-032-071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406234
—
NC
Enumeration date
02/04/2009
Last updated
01/18/2019
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