| Destiny Home, Inc. | |
|
630 Rippling Stream Rd Durham NC 27704-1233 | |
| (919) 454-7725 | |
| (919) 231-3736 |
| Full Name | Destiny Home, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 630 Rippling Stream Rd, Durham, North Carolina |
| Authorized Official Name and Position | Oswald Nwogbo (DIRECTOR) |
| Authorized Official Contact | 9194547725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Home, Inc. 1708 Vintage Rd Raleigh NC 27610-3187 Ph: (919) 454-7725 | Destiny Home, Inc. 630 Rippling Stream Rd Durham NC 27704-1233 Ph: (919) 454-7725 |
| NPI Number | 1245371939 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245371939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL-032-389 (North Carolina) | Primary |
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