Organization
TECPARK
Active
Other names
TECpark
Organization subpart
No
Provider details
NPI number
Authorized official
ALANA A BENNETT (CEO)
(919) 257-9103
Entity
Organization
Contact information
Practice address
2241 W HANFORD RD STE 107, BURLINGTON, NC 27215-7031
(336) 212-0433
Mailing address
2241 W HANFORD RD STE 107, BURLINGTON, NC 27215-7031
(336) 212-0433
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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