Organization
F AND M HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYESHA FAISON (OWNER)
(919) 550-5101
Entity
Organization
Contact information
Practice address
980 GOVERNMENT RD, CLAYTON, NC 27520-7769
(919) 550-5101
Mailing address
980 GOVERNMENT RD, CLAYTON, NC 27520-7769
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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