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DURHAM EXCHANGE CLUB INDUSTRIES NPI 1982767513


NPI Information

NPI: 1982767513
Provider Name: DURHAM EXCHANGE CLUB INDUSTRIES
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1717 E LAWSON ST
DURHAM, NC
ZIP 27703
Phone: (919) 596-1341
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DURHAM EXCHANGE CLUB INDUSTRIES is a day training developmentally disabled services in Durham, NC. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. DURHAM EXCHANGE CLUB INDUSTRIES NPI is 1982767513. The provider is registered as an organization entity type.

The provider's business location address is:

1717 E LAWSON ST
DURHAM, NC
ZIP 27703-025
Phone: (919) 596-1341
Fax: (919) 596-6380

The provider's authorized official is Melissa Summey .
The authorized official title is Controller and has the following contact phone number (919) 596-1341.

The enumeration date for this NPI number is 12/18/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesMHL-032-379NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13418222MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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