Organization
ADVANCED HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S. JENKINS (EXECUTIVE DIRECTOR)
(919) 465-3277
Entity
Organization
Contact information
Practice address
10940 RAVEN RIDGE RD STE 210, RALEIGH, NC 27614-6611
(919) 465-3277
(919) 465-3222
Mailing address
10940 RAVEN RIDGE RD STE 210, RALEIGH, NC 27614-6611
(919) 465-3277
(919) 465-3222
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3419122
—
NC
Enumeration date
04/06/2011
Last updated
02/27/2017
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