OUTREACH HOME #1 NPI 1063638328

NPI Information

OUTREACH HOME #1 is a residential treatment facility physical disabilities in Durham, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. OUTREACH HOME #1 NPI is 1063638328. The provider is registered as an organization entity type.

The provider's business location address is:

2826 S ROXBORO ST
DURHAM, NC
ZIP 27707-039
Phone: (919) 401-8352

The provider's authorized official is Joy N. Okeke .
The authorized official title is Administrator and has the following contact phone number (919) 641-0162.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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