Healthcare Provider Details

I. General information

NPI: 1346370210
Provider Name (Legal Business Name): PATTS PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2005 ANN AVE
RALEIGH NC
27610-4501
US

IV. Provider business mailing address

310 WALNUT WOODS DR
MORRISVILLE NC
27560-6731
US

V. Phone/Fax

Practice location:
  • Phone: 919-741-1045
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA JEAN JONES
Title or Position: OWNER
Credential:
Phone: 919-741-1045