Organization
R & R'S ANGEL'S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENEISHA NICOLE HARDISON MA (ORGA NIZER/MEMBER (OWNER))
(919) 896-7469
Entity
Organization
Contact information
Practice address
4501 DURALEIGH RD, RALEIGH, NC 27612-3533
(919) 896-7469
Mailing address
4832 SILVERDENE ST, RALEIGH, NC 27616-5112
(919) 896-7469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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