Organization
DEVEREUX RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADINE WILLIAMS (PROGRAM MANAGER)
(919) 806-9528
Entity
Organization
Contact information
Practice address
1024 GLENROSE DR, DURHAM, NC 27703-2669
(919) 806-9528
(919) 321-1815
Mailing address
103 SETTLERS MILL LN, DURHAM, NC 27713-8541
(919) 806-9528
(919) 321-1815
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MHL032284
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL032284
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL032284
NC
Other
Enumeration date
03/13/2007
Last updated
09/11/2025
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