BIG BROTHERLLC NPI 1144551219

NPI Information

BIG BROTHER,LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BIG BROTHER,LLC NPI is 1144551219. The provider is registered as an organization entity type.
The provider Is Doing Business As Big Brother @ Lancaster.

The provider's business location address is:

1102 LANCASTER ST
DURHAM, NC
ZIP 27701-148
Phone: (919) 667-5700

The provider's authorized official is Ben Johnson .
The authorized official title is Coo and has the following contact phone number (919) 667-5700.

The enumeration date for this NPI number is 1/28/2010 and was last updated on 1/28/2010.

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:

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