Organization
SCI-TRIANGLE HOUSE II
Active
Parent organization
SKILL CREATIONS INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKILL CREATIONS INCORPORATED
Authorized official
PAUL HACKMANN (CEO)
(919) 734-7398
Entity
Organization
Contact information
Practice address
1523 TYONEK DR, DURHAM, NC 27703-5639
(919) 734-7398
Mailing address
PO BOX 1636, GOLDSBORO, NC 27533-1636
(919) 734-7398
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
MHL-032-070
NC
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-032-070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406243
—
NC
Enumeration date
09/14/2012
Last updated
01/18/2019
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