Organization
CHANGING PLACES FAMILY CARE HOME OF DURHAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HATTIE J DUNHAM BSN, RN (ADMINISTRATOR)
(919) 697-7340
Entity
Organization
Contact information
Practice address
725 HANSON RD, DURHAM, NC 27713-1117
(919) 697-7340
(919) 479-9055
Mailing address
725 HANSON ROAD, DURHAM, NORTH CAROLINA (NC) 27713
(919) 248-0650
(919) 908-8219
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
03/07/2017
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