Organization
BETTER LIVING CONCEPTS OF DURHAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN OUMA NYABWA (OWNER)
(919) 477-5825
Entity
Organization
Contact information
Practice address
909 GARCIA AVE, DURHAM, NC 27704-1733
(919) 477-5825
(919) 477-6429
Mailing address
909 GARCIA AVE, DURHAM, NC 27704-1733
(919) 477-5825
(919) 477-6429
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-032-403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418493
COMMUNITY ALTERNATIVES PROGRAM (CAP) PROVIDER NUMBER
NC
Enumeration date
10/04/2007
Last updated
02/20/2013
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