Devereux Residential Services Llc in Durham - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Devereux Residential Services Llc - NPI 1356474977

Devereux Residential Services Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Durham, North Carolina. Devereux Residential Services Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Devereux Residential Services Llc is 1356474977. The last update date is 2020-08-22.

Devereux Residential Services Llc's current location address is 103 Settlers Mill Ln, Durham, North Carolina. You can contact this provider via phone number 9198069528 and fax number 9193211815. The mailing address for Devereux Residential Services Llc is 103 Settlers Mill Ln, Durham, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Devereux Residential Services Llc
Address 103 Settlers Mill Ln, Durham, North Carolina
Phone Number 9198069528
Fax Number 9193211815
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROGRAM MA
Authorized Official Name Williams Nadine
Telephone Number 9198069528

NPI Number Detail

NPI Number 1356474977
Provider Enumeration Date 2007-03-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 103 Settlers Mill Ln
City Durham
State North Carolina (NC)
Post Code 277138541
Phone Number 9198069528
Fax Number 9193211815

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No MHL032284
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Devereux Residential Services Llc

What is the unique provider identifier assigned to Devereux Residential Services Llc?

The Devereux Residential Services Llc has been issued the NPI (National Provider Identifier) 1356474977 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Devereux Residential Services Llc is located?

The Devereux Residential Services Llc is situated at the following address: 103 Settlers Mill Ln, Durham, NC, 277138541.

What is Devereux Residential Services Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Devereux Residential Services Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.

On what date did the Devereux Residential Services Llc receive its 1356474977 assignment from the Centers for Medicare & Medicaid Services?

The Devereux Residential Services Llc was assigned its 1356474977 by the Centers for Medicare & Medicaid Services on 2007-03-13.

When was the Devereux Residential Services Llc's information last updated?

The Devereux Residential Services Llc's information was last updated on 2020-08-22.

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