Organization · Type 2 NPI

Judith's House

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fuquay Varina, NC

NPI number 1164762035 Active

Practice location

2625 Mary Marvin Trl
Fuquay Varina, NC 27526-9641

Call (919) 639-2947 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL-092-496 (NC)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1164762035

Judith's House's National Provider Identifier is 1164762035, issued on Feb 28, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fuquay Varina, NC. The record was last updated on Feb 28, 2013.