Providence Place, Inc.

LBN: Providence Place, Inc.
Providence Place, Inc. is an health care organization with primary practice located at 916 Clayton Rd , Durham NC 27703-2608. 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. Providence Place, Inc. can be contacted via phone (919) 767-9037, or through Olanrewaju, Moses Oladapo via phone (919) 767-9037.

Contact Information

Primary practice address
916 Clayton Rd Durham NC 27703-2608
Phone: (919) 767-9037
Fax: (919) 768-1090
Website:
Map and Directions
Authorized official contact:
Name: Olanrewaju, Moses Oladapo
Phone: (919) 767-9037

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-032-422 North Carolina

Profile Details

NPI number 1558411942
LBN Legal business name Providence Place, Inc.
DBA Doing business as
Authorized official Olanrewaju, Moses Oladapo
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 15th, 2008 - about 16 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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