Pickett Grove Supervised Living

LBN: Pickett Grove Supervised Living
Pickett Grove Supervised Living is an health care organization with primary practice located at 3809 Pickett Rd , Durham NC 27705-5331. 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. Pickett Grove Supervised Living can be contacted via phone (919) 403-9644, or through Holliday, Cedrika Yarnell via phone (919) 403-9644.

Contact Information

Primary practice address
3809 Pickett Rd Durham NC 27705-5331
Phone: (919) 403-9644
Fax: (919) 489-8489
Website:
Map and Directions
Authorized official contact:
Name: Holliday, Cedrika Yarnell
Phone: (919) 403-9644

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL 032244 North Carolina

Profile Details

NPI number 1669689766
LBN Legal business name Pickett Grove Supervised Living
DBA Doing business as
Authorized official Holliday, Cedrika Yarnell
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 5 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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