Organization
BLEVINS HOUSE
Active
Organization
BLEVINS HOUSE
Active
Parent organization
AIDS COMMUNITY RESIDENCE ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
AIDS COMMUNITY RESIDENCE ASSOCIATION
Authorized official
MS. JANICE SHERROLL JOHNSON (EXECUTIVE DIRECTOR)
(919) 956-7901
Entity
Organization
Contact information
Practice address
2325 COOK RD, DURHAM, NC 27713-2734
(919) 806-2000
(919) 806-2000
Mailing address
4404 GUESS RD, DURHAM, NC 27712-2620
(919) 956-7901
(919) 321-2193
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
FCL032083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801883
—
NC
Enumeration date
09/14/2007
Last updated
09/14/2007
Update your record
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