Healthcare Provider Details
I. General information
NPI: 1932502226
Provider Name (Legal Business Name): CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2014
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
127 DANEBORG RD
DURHAM NC
27703-9490
US
IV. Provider business mailing address
2216 S MIAMI BLVD STE. 101
DURHAM NC
27703-6281
US
V. Phone/Fax
- Phone: 919-479-6806
- Fax: 919-479-5566
- Phone: 919-479-6806
- Fax: 919-479-5566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LUCIA
P
HINTON
Title or Position: EXECUTIVE DIRECTOR
Credential: MASTERS IN SCHOOL AD
Phone: 919-479-6806