Fayetteville Street Community Living Home

LBN: Fayetteville Street Community Living Home
Fayetteville Street Community Living Home is an health care organization with primary practice located at 111 N Maple St , Durham NC 27703-3021. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Fayetteville Street Community Living Home can be contacted via phone (919) 519-0016, or through Williams, Robin Artis via phone (919) 519-0016.

Contact Information

Primary practice address
111 N Maple St Durham NC 27703-3021
Phone: (919) 519-0016
Fax: (919) 596-0645
Website:
Map and Directions
Authorized official contact:
Name: Williams, Robin Artis
Phone: (919) 519-0016

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL032445 North Carolina

Profile Details

NPI number 1295998029
LBN Legal business name Fayetteville Street Community Living Home
DBA Doing business as
Authorized official Williams, Robin Artis
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Dec 12th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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