Organization
DURHAM HEALTHCARE LLC
Active
Other names
GRACE HEALTHCARE OF DURHAM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
(423) 308-1845
Entity
Organization
Contact information
Practice address
411 S LASALLE ST, DURHAM, NC 27705-3701
(919) 383-5521
(919) 383-8580
Mailing address
411 S LASALLE ST, DURHAM, NC 27705-3701
(919) 383-5521
(919) 383-8580
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425070
—
NC
05
—
3426037
—
NC
Enumeration date
11/08/2007
Last updated
04/17/2008
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