Organization
HERBERT WAY OF LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY JENKINS (DIRECTOR)
(919) 220-2370
Entity
Organization
Contact information
Practice address
519 E CLUB BLVD, DURHAM, NC 27704-4501
(919) 317-1270
Mailing address
PO BOX 15034, DURHAM, NC 27704-0034
(919) 220-2370
(919) 317-8906
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL032398
NC
Other
Enumeration date
04/20/2007
Last updated
09/25/2009
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