Organization
HILLCREST FAMILY CARE HOME FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGIE GILLIS HARRIS (ADMINISTRATOR)
(919) 231-6776
Entity
Organization
Contact information
Practice address
3704 HILLCREST DR, RALEIGH, NC 27610-1309
(919) 231-6776
(919) 231-6776
Mailing address
3704 HILLCREST DR, RALEIGH, NC 27610-1309
(919) 231-6776
(919) 231-6776
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
FCL092109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805553
—
NC
Enumeration date
12/13/2007
Last updated
11/21/2013
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