Organization
INEZS HOUSE HC LLC
Active
Organization
INEZS HOUSE HC LLC
Active
Other names
Inez's House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HATTIE JOANN DUNHAM RN (OWNER/ADMINISTRATOR)
(919) 697-7340
Entity
Organization
Contact information
Practice address
2811 INDEPENDENCE AVE, DURHAM, NC 27703
(919) 697-7340
(919) 479-9055
Mailing address
209 GANYARD FARM WAY, DURHAM, NC 27703
(919) 697-7340
(919) 479-9055
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
MHL-032-356
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805440
—
NC
Enumeration date
02/21/2007
Last updated
10/11/2024
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