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Organization

PHILIP HOUSETHERAPEUTIC SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSEMARY NJOKU ANAYO NJOKU BA, (CEO ADMINISTRATOR)
(919) 395-5227
Entity
Organization

Contact information

Practice address
5401 ORCHARD POND DR, RALEIGH, NC 27616-6183
(919) 862-1929
Mailing address
5801 CHERRYRAIN CT, RALEIGH, NC 27610-5586
(919) 676-5840
(919) 676-5839

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-644
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418243
NC
05
7805521
NC
Enumeration date
02/04/2007
Last updated
07/31/2008
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