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HAZEL CLINKSCALES

Intermediate Care Facility, Mental Illness

Durham, North Carolina

Provider NPI: 1528259967

Organization Information:
Organization Name:  HAZEL CLINKSCALES


Practice Location:
2509 LANE ST  DURHAM, NC 27707 US
Tel: 919-680-2550  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
NCMHL-032-411

Other Provider Identifiers:

IssuerNumberStateType
7805887NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS NC - Page 1