DURHAM MANOR, LLC
Assisted Living Facility
Durham, North Carolina
Provider NPI: 1184600843
Organization Information:Organization Name: DURHAM MANOR, LLC
Practice Location:
5935 MOUNT SINAI RD DURHAM, NC 27705 US
Tel: 864-578-6599 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:
5935 MOUNT SINAI RD DURHAM, NC 27705 US
Tel: 864-578-6599 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | NH0093 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0093 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7805846 | NC | 05 | |
3446018 | NC | 05 | |
3435346 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin