NPI
Providence Place, Inc
Phone (919) 767-9037 · Fax (919) 767-9037 · NPI 1801064118
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2008-02-20
- Last updated
- 2008-02-20
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Specialties
Licenses
- License NC
- MHL-032-422
Location
- Practice location
- 916 Clayton Rd
- City
- Durham NC
- Postal code
- 27703-2608
- Phone
- (919) 767-9037
- Fax
- (919) 767-9037
Organization contact
- Name
- Moses Olanrewaju
- Title
- CEO/Administrator
- Phone
- (919) 767-9037
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Intermediate Care Facility, Intellectual Disabilities providers in Durham, NC. 15 with this primary taxonomy in the public file.
Other NPIs in Durham, NC. 16,481 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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