Organization
PROVIDENCE PLACE, INC
Active
Other names
PROVIDENCE PLACE FAMILY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSES OLADAPO OLANREWAJU PH.D. (CEO/ADMINISTRATOR)
(919) 767-9037
Entity
Organization
Contact information
Practice address
916 CLAYTON RD, DURHAM, NC 27703-2608
(919) 767-9037
(919) 767-9037
Mailing address
156 WOLFSNARE LN, MORRISVILLE, NC 27560-7061
(919) 650-1725
(919) 767-9137
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-032-422
NC
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us