Organization
KINDER LOVE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMETKA BLOUNT PITTMAN (PRESIDENT)
(919) 454-7761
Entity
Organization
Contact information
Practice address
2310 S MIAMI BLVD, SUITE 140, DURHAM, NC 27703-5798
(919) 544-9208
Mailing address
2310 S MIAMI BLVD, SUITE 140, DURHAM, NC 27703-5798
(919) 544-9208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604163
—
NC
Enumeration date
07/27/2009
Last updated
07/27/2009
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