Organization
DONALD BROWN SR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHAUN ANJALI WILLIAMS (MANAGER)
(919) 949-7497
Entity
Organization
Contact information
Practice address
2015 ELLIS RD, DURHAM, NC 27703-6127
(919) 596-7414
(919) 667-1276
Mailing address
2015 ELLIS RD, DURHAM, NC 27703-6127
(919) 596-7414
(919) 667-1276
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
MHL032404
NC
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
02/07/2024
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