Organization
IMAGINE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY WRIGHT B.S.C.J.A (OWNER)
(919) 225-1411
Entity
Organization
Contact information
Practice address
413 N MAPLE ST, DURHAM, NC 27703-3027
(919) 225-1411
Mailing address
2520 TORQUAY XING, APT. G, RALEIGH, NC 27616-3076
(919) 225-1411
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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