Organization
HEALTHCORE RESOURCE, INC
Active
Other names
HealthCore Adolescent Residential Treatment III
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA E NWAEZE (CEO)
(919) 872-1178
Entity
Organization
Contact information
Practice address
821 BROOKHANNAH CT, FUQUAY VARINA, NC 27526-5138
(919) 872-1178
(919) 872-1170
Mailing address
1001 NAVAHO DR, SUITE 101, RALEIGH, NC 27609-7335
(919) 872-1178
(919) 872-1170
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
01/09/2015
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