Organization
D.H.D. GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERIK LEE ABNEY (OWNER)
(919) 608-5267
Entity
Organization
Contact information
Practice address
1229 BERKELEY ST, DURHAM, NC 27705-3530
(919) 286-1927
Mailing address
1229 BERKELEY ST, DURHAM, NC 27705-3530
(919) 286-1927
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MHLO32370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805567
—
NC
Enumeration date
05/03/2007
Last updated
08/22/2020
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