Providence Place Family Care Home

LBN: Providence Place, Inc
Providence Place Family Care Home 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 Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, 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) 767-9037
Website:
Map and Directions
Authorized official contact:
Name: Olanrewaju, Moses Oladapo PH.D.
Phone: (919) 767-9037

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-032-422 North Carolina

Profile Details

NPI number 1801064118
LBN Legal business name Providence Place, Inc
DBA Doing business as Providence Place Family Care Home
Authorized official Olanrewaju, Moses Oladapo PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 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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