Organization · Type 2 NPI

Heavenly Place LLC II

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

NPI number 1356683445 Active

Practice location

2105 Gresham Lake Rd
Raleigh, NC 27615-4204

Call (919) 819-3882 Map

Mailing address

PO Box 41153
Raleigh, NC 27629-1153

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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 1356683445

Heavenly Place LLC II's National Provider Identifier is 1356683445, issued on Mar 27, 2013. 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 Mar 27, 2013.