| Joyland Homes, Inc. | |
|
15 Howlett Pl Durham NC 27703-3365 | |
| (919) 381-9761 | |
| Not Available |
| Full Name | Joyland Homes, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15 Howlett Pl, Durham, North Carolina |
| Authorized Official Name and Position | Frederick Leon Dunston (CO-OWNER) |
| Authorized Official Contact | 9196023455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joyland Homes, Inc. 15 Howlett Pl Durham NC 27703-3365 Ph: (919) 381-9761 | Joyland Homes, Inc. 15 Howlett Pl Durham NC 27703-3365 Ph: (919) 381-9761 |
| NPI Number | 1255475828 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255475828 | NPI | - | NPPES |
| 6603923 | Medicaid | NC | |
| MHL-032-343 | Other | NC | NC STATE MENTAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-032-343 (North Carolina) | Primary |
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