Organization
KINDER LOVE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMETKA B PITTMAN (EXECUTIVE DIRECTOR)
(919) 454-7761
Entity
Organization
Contact information
Practice address
32 YORKFIELD CT, DURHAM, NC 27713-5444
(919) 765-5981
Mailing address
908 PENNCROSS DR, RALEIGH, NC 27610-2185
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-032-405
NC
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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