Organization
HOUSE OF CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGO EMODI-ONWUKA BA (DIRECTOR)
(919) 493-6871
Entity
Organization
Contact information
Practice address
109 DEER FARM LN, WILLOW SPRING, NC 27592-8505
(919) 493-6871
(919) 493-6878
Mailing address
3500 WESTGATE DR, SUITE 501, DURHAM, NC 27707-2567
(919) 493-6871
(919) 493-6878
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-051-189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409340
—
NC
05
—
8300547
—
NC
Enumeration date
07/25/2013
Last updated
07/25/2013
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