Hazel Clinkscales in Durham - Intermediate Care Facility, Mental Illness

Hazel Clinkscales - NPI 1528259967

Hazel Clinkscales is a Intermediate Care Facility, Mental Illness in Durham, North Carolina. Hazel Clinkscales practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Hazel Clinkscales is 1528259967. The last update date is 2008-06-20.

Hazel Clinkscales's current location address is Po Box 21154, Durham, North Carolina. You can contact this provider via phone number 9196802550 and fax number 9196802550. The mailing address for Hazel Clinkscales is Po Box 21154, Durham, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hazel Clinkscales
Address Po Box 21154, Durham, North Carolina
Phone Number 9196802550
Fax Number 9196802550
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CO- ADMINI
Authorized Official Name Clinkscales Hazel
Telephone Number 9199571641

NPI Number Detail

NPI Number 1528259967
Provider Enumeration Date 2007-08-08
Last Updated Date 2008-06-20

Provider Mailing Address Detail

Address Po Box 21154
City Durham
State North Carolina (NC)
Post Code 277031154
Phone Number 9196802550
Fax Number 9196802550

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Mental Illness
Taxonomy 310500000X
Licence No MHL-032-411
Definition:
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7805887 NC --

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FAQs about Hazel Clinkscales

What is the Hazel Clinkscales's unique identification number?

The Hazel Clinkscales has been assigned the NPI (National Provider Identifier) Number 1528259967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Hazel Clinkscales is physically located?

The Hazel Clinkscales is situated at the following address: Po Box 21154, Durham, NC 277031154.

What is Hazel Clinkscales's specialized field of practice, and what is the corresponding taxonomy classification code?

The Hazel Clinkscales's area of specialization is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 310500000X.

On what date did the Hazel Clinkscales receive the assignment of its 1528259967 from the Centers for Medicare & Medicaid Services?

The Hazel Clinkscales was issued its 1528259967 by the Centers for Medicare & Medicaid Services on 2007-08-08.

When was the information related to Hazel Clinkscales most recently updated or refreshed?

The details pertaining to the Hazel Clinkscales, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-20.

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