Organization
HERBERT WAY OF LIVING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY J JENKINS (DIRECTOR)
(919) 620-1416
Entity
Organization
Contact information
Practice address
3014 FORRESTER ST, DURHAM, NC 27704-2310
(919) 220-5747
Mailing address
3326 GUESS RD, SUITE 203, DURHAM, NC 27705-2160
(919) 620-1416
(919) 620-1456
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL032426
NC
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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