Organization
HAPPY HOMES OF NORTH CAROLINA
Active
Other names
'Our Place '
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ POLAVARAM M.D. (CHAIRMAN)
(919) 559-6141
Entity
Organization
Contact information
Practice address
1040 BUCK JONES RD, RALEIGH, NC 27606-3323
(919) 559-6141
(919) 319-6365
Mailing address
907 KILDAIRE FARM RD, CARY, NC 27511-3922
(919) 559-6141
(919) 319-6365
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-092-694
NC
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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