Organization
FAITH HOMES & HABILITATION, LLC II
Active
Parent organization
FAITH HOMES & HABILITATION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAITH HOMES & HABILITATION, LLC
Authorized official
GLORIA CAMPBELL (ADMINISTRATOR)
(919) 961-1757
Entity
Organization
Contact information
Practice address
830 N MANGUM ST, DURHAM, NC 27701-2259
(919) 961-1757
(919) 400-4277
Mailing address
5316 CUMBERLAND PLAIN DR, RALEIGH, NC 27616-6367
(919) 758-8375
(919) 400-4277
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
FCL-032-117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134443252
—
NC
Enumeration date
02/29/2012
Last updated
03/21/2012
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