Healthcare Provider Details

I. General information

NPI: 1225236029
Provider Name (Legal Business Name): S HOMES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 LEACROFT WAY
DURHAM NC
27703
US

IV. Provider business mailing address

110 LEACROFT WAY
DURHAM NC
27703
US

V. Phone/Fax

Practice location:
  • Phone: 919-321-0978
  • Fax:
Mailing address:
  • Phone: 919-321-0978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MONICA LONG
Title or Position: PRESIDENT
Credential:
Phone: 919-321-0978