Organization
JOYLAND HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK LEON DUNSTON JR. (CO-OWNER)
(919) 602-3455
Entity
Organization
Contact information
Practice address
15 HOWLETT PL, DURHAM, NC 27703-3365
(919) 381-9761
(919) 598-1989
Mailing address
15 HOWLETT PL, DURHAM, NC 27703-3365
(919) 381-9761
(919) 598-1989
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-032-343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603923
—
NC
01
—
MHL-032-343
MENTAL HEALTH LICENSE #
NC
Enumeration date
02/05/2007
Last updated
08/22/2020
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