Organization · Type 2 NPI

Destiny Family Care Home

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raleigh, NC

NPI number 1063734564 Active

Practice location

5005 Hollyridge Dr
Raleigh, NC 27612-3109

Call (919) 789-9811 Map

Fax (919) 789-9811

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-092-759 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1063734564

Destiny Family Care Home's National Provider Identifier is 1063734564, issued on Feb 24, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 24, 2010.