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NPI Code Detail

MEDICARE: ADAPT-UR-HOME

MEDICARE: ADAPT-UR-HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyNC

General Provider Information

NPI Number : 1942567995
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADAPT-UR-HOME
Provider Business Mailing Address
First Line : 4819 EMPEROR BLVD
Second Line : SUITE 400
City : DURHAM
State : NC
Zip : 27703-5420
Country : US
Telephone Number : 919-313-4600
Fax Number : 407-391-3752
Provider Business Practice Location Address
First Line : 4819 EMPEROR BLVD
Second Line : SUITE 400
City : DURHAM
State : NC
Zip : 27703-5420
Country : US
Telephone Number : 919-313-4600
Fax Number : 407-391-3752
Authorized Official
Title or Position : OWNER
Name : HECTOR LUIS BORRERO
Credential : OTRL
Telephone Number : 19193134600
Provider Enumeration Date : 04/16/2012
Last Update Date : 04/16/2012

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Directions to “ADAPT-UR-HOME ” Practice Location

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