Keywest Center Inc.

LBN: Keywest Center Inc.
Keywest Center Inc. is an health care organization with primary practice located at 1722 Athens Ave. , Durham NC 27707-4312. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Keywest Center Inc. can be contacted via phone (919) 682-9392, or through Bullock, Tony via phone (919) 682-9392.

Contact Information

Primary practice address
1722 Athens Ave. Durham NC 27707-4312
Phone: (919) 682-9392
Fax: (919) 683-1774
Website:
Map and Directions
Authorized official contact:
Name: Bullock, Tony
Phone: (919) 682-9392

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-032-049 North Carolina

Profile Details

NPI number 1356492425
LBN Legal business name Keywest Center Inc.
DBA Doing business as
Authorized official Bullock, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356492425 NPPES
North Carolina MEDICAID 3406548

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