Organization
SOUTH POINT MANOR
Active
Other names
SOUTH POINT MANOR INC
Organization subpart
No
Provider details
NPI number
Authorized official
SENORA WOODARD (PRESIDENT)
(919) 639-6893
Entity
Organization
Contact information
Practice address
3218 HWY 55, DURHAM, NC 27713
(919) 361-0721
(919) 544-1162
Mailing address
2316 ANGIER RD, 3218 HWY 55, FUQUAY VARINA, NC 27526
(919) 639-6893
(919) 639-2913
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
HAL032072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804941
—
NC
Enumeration date
02/06/2007
Last updated
01/02/2008
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