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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