DURHAM REST HOME INC; NPI #1992879175

Contact Information

DURHAM REST HOME INC

5600 N ROXBORO RD
DURHAM, NC 27704

Phone: 919-479-5652
Fax: 919-471-0557
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for DURHAM REST HOME INC

NPI # 1992879175

LBN Legal business name DURHAM REST HOME INC

Authorized official RILEY EVANS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/20/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

NC	License #	HAL032001
NC	Medicaid	7801428

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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