Judith's House
NPI #1164762035 in Fuquay Varina, North Carolina
Provider Information
- NPI Number
- 1164762035
- Entity Type
- Organization
- Organization Name
- Judith's House
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 28, 2013
- Last Updated
- Feb 28, 2013
Practice Location
- Address
- 2625 MARY MARVIN TRL
- City
- Fuquay Varina
- State
- North Carolina
- ZIP Code
- 27526-9641
- Phone
- (919) 639-2947
Authorized Official
- Name
- MRS. JUDITH G DEAN
- Title
- PROVIDER
- Phone
- (919) 639-2947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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