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SYBIL M CASTLE NPI 1902928419


NPI Information

NPI: 1902928419
Provider Name: SYBIL M CASTLE

Doing Business As: ADVENTURE HOUSE

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4 KIMBROUGH CT
DURHAM, NC
ZIP 27703
Phone: (919) 957-9097
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SYBIL M CASTLE is a residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SYBIL M CASTLE NPI is 1902928419. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventure House.

The provider's business location address is:

4 KIMBROUGH CT
DURHAM, NC
ZIP 27703-919
Phone: (919) 957-9097
Fax: (919) 598-0940

The provider's authorized official is Sybil M Castle .
The authorized official title is Administratorowner and has the following contact phone number (919) 596-0403.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 6/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities032347NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17805777MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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