PROVIDENCE PLACE, INC
Nursing at Clayton Rd, Durham, NC

License number
North Carolina MHL-032-422
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: DR. MOSES OLADAPO OLANREWAJU PH.D.
Title: CEO/ADMINISTRATOR
Phone: (919) 767-9037
Address
Address 2
916 Clayton Rd, Durham, NC 27703
156 Wolfsnare Ln, Cary, NC 27560
National Provider ID: 1801064118
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE PLACE, INC at bizstanding.com

Providence Place, Inc

1914 Sherron Rd, Durham, NC 27703

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Administration, Chief Executive Officer, President, Principal:
Moses O. Olanrewaju Administration, Chief Executive Officer, President, Principal, inactive

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