Fayetteville Street Community Living Home in Durham - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Fayetteville Street Community Living Home - NPI 1295998029
Fayetteville Street Community Living Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Durham, North Carolina. Fayetteville Street Community Living Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Fayetteville Street Community Living Home is 1295998029. The last update date is 2013-12-12.
Fayetteville Street Community Living Home's current location address is 111 N Maple St, Durham, North Carolina. You can contact this provider via phone number 9195190016 and fax number 9195960645. The mailing address for Fayetteville Street Community Living Home is 111 N Maple St, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fayetteville Street Community Living Home |
|---|---|
| Address | 111 N Maple St, Durham, North Carolina |
| Phone Number | 9195190016 |
| Fax Number | 9195960645 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTOR |
|---|---|
| Authorized Official Name | Williams Artis Robin |
| Telephone Number | 9195190016 |
NPI Number Detail
| NPI Number | 1295998029 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2013-12-12 |
Provider Mailing Address Detail
| Address | 111 N Maple St |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277033021 |
| Phone Number | 9195190016 |
| Fax Number | 9195960645 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL032445 |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the Fayetteville Street Community Living Home's unique identification number?
The Fayetteville Street Community Living Home has been assigned the NPI (National Provider Identifier) Number 1295998029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Fayetteville Street Community Living Home's facilities are situated?
The facilities of Fayetteville Street Community Living Home are physically located at the following address: 111 N Maple St, Durham, NC, 277033021.
What is the Fayetteville Street Community Living Home's area of specialization and corresponding taxonomy classification?
The Fayetteville Street Community Living Home's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
When did Fayetteville Street Community Living Home receive its 1295998029 assignment?
The Fayetteville Street Community Living Home was assigned its 1295998029 on 2008-07-02, which is the date when this unique identifier was issued to the organization.
When was the Fayetteville Street Community Living Home's information last updated?
The Fayetteville Street Community Living Home's information was last updated on 2013-12-12.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA