Organization
CHANGING PLACES FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD BROWN SR. (ADMINISTRATOR)
(919) 949-6019
Entity
Organization
Contact information
Practice address
725 HANSON RD, DURHAM, NC 27713-1117
(919) 688-9703
Mailing address
725 HANSON RD, DURHAM, NC 27713-1117
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36-4749156
—
NC
Enumeration date
03/04/2013
Last updated
03/04/2013
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