Organization
HANNAH FAMILY CARE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZUMA ASI (ADMINISTRATOR)
(919) 900-8916
Entity
Organization
Contact information
Practice address
5024 DANTREE PL, RALEIGH, NC 27609-5351
(919) 900-8916
Mailing address
PO BOX 14963, RALEIGH, NC 27620-4963
(919) 900-8916
(919) 876-9252
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-092-829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-092-829
DHSR-LICENSE
NC
Enumeration date
01/04/2012
Last updated
01/04/2012
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