Outreach Home # 2

LBN: Outreach Home # 2
Outreach Home # 2 is an health care organization with primary practice located at 2002 Otis St , Durham NC 27707-3110. 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. Outreach Home # 2 can be contacted via phone (919) 530-1440, or through Okeke, Joy N. via phone (919) 641-0162.

Contact Information

Primary practice address
2002 Otis St Durham NC 27707-3110
Phone: (919) 530-1440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Okeke, Joy N. Registered Nurse (RN)
Phone: (919) 641-0162

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-032-346 North Carolina

Profile Details

NPI number 1750507026
LBN Legal business name Outreach Home # 2
DBA Doing business as
Authorized official Okeke, Joy N. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 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 1750507026 NPPES
North Carolina MEDICAID 7805419

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