DURHAM COUNTY COMMUNITY LIVING PROGRAMS, INC.
Adult Care Home
Durham, North Carolina
Provider NPI: 1295896801
Organization Information:Organization Name: DURHAM COUNTY COMMUNITY LIVING PROGRAMS, INC.
Practice Location:
3500 WESTGATE DR STE 103 DURHAM, NC 27707 US
Tel: 919-489-0682 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3500 WESTGATE DR STE 103 DURHAM, NC 27707 US
Tel: 919-489-0682 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | MHL-032-264 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | MHL-032-267 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | MHL-032-265 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | MHL-032-261 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | MHL-032-263 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | MHL-032-262 |
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | MHL-032-266 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7804432 | NC | 05 | |
7804436 | NC | 05 | |
7804431 | NC | 05 | |
7804430 | NC | 05 | |
7804435 | NC | 05 | |
7804434 | NC | 05 | |
7804433 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin