Abundance Safe Haven Inc in Durham - Community Based Residential Treatment Facility, Mental Illness
Abundance Safe Haven Inc - NPI 1376699819
Abundance Safe Haven Inc is a Community Based Residential Treatment Facility, Mental Illness in Durham, North Carolina. Abundance Safe Haven Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Abundance Safe Haven Inc is 1376699819. The last update date is 2008-06-13.
Abundance Safe Haven Inc's current location address is 915 Fiske St, Durham, North Carolina. You can contact this provider via phone number 9196802030. The mailing address for Abundance Safe Haven Inc is 915 Fiske St, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Abundance Safe Haven Inc |
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Address | 915 Fiske St, Durham, North Carolina |
Phone Number | 9196802030 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Simpson Horatious Terron |
Telephone Number | 9196802030 |
NPI Number Detail
NPI Number | 1376699819 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
Address | 915 Fiske St |
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City | Durham |
State | North Carolina (NC) |
Post Code | 277031615 |
Phone Number | 9196802030 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | MHL-032-322 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique identifier code issued to Abundance Safe Haven Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Abundance Safe Haven Inc has been assigned the NPI (National Provider Identifier) 1376699819. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Abundance Safe Haven Inc is located?
The Abundance Safe Haven Inc is situated at the following address: 915 Fiske St, Durham, NC, 277031615.
What is the Abundance Safe Haven Inc's specialty and taxonomy code?
The Abundance Safe Haven Inc's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376699819 to Abundance Safe Haven Inc?
The Centers for Medicare & Medicaid Services originally issued the 1376699819 to Abundance Safe Haven Inc on 2007-01-26.
When was the information pertaining to Abundance Safe Haven Inc most recently updated or revised?
The details related to Abundance Safe Haven Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-13.
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