Organization
URATTA HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME NWABUEZE (DIRECTOR)
(336) 471-5658
Entity
Organization
Contact information
Practice address
3316 MARCONY WAY, RALEIGH, NC 27610-4076
(336) 471-5658
Mailing address
3316 MARCONY WAY, RALEIGH, NC 27610-4076
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MHL092930
—
NC
Enumeration date
12/07/2015
Last updated
12/07/2015
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