AIDS Community Residence Association

Organization Active NPI Case Manager/Care Coordinator · Durham, NC

NPI 1164618948 · NPPES record last updated Sep 14, 2007

Key facts

NPI
1164618948
Entity type
Organization (NPI type 2)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Legal business name
AIDS COMMUNITY RESIDENCE ASSOCIATION
Practice address
1017 Cook Rd
Durham, NC 27713-2767
Phone
(919) 688-0843
Fax
(919) 321-2193
NPI assigned
Sep 14, 2007
Organization subpart
No

Authorized official

Name
Ms. Janice Sherroll Johnson
Title
Executive Director
Phone
(919) 956-7901

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
AIDS Community Residence Association (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193400000X SINGLE SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

1017 Cook Rd
Durham, NC 27713-2767

Mailing address

4404 Guess Rd
Durham, NC 27712-2620
Phone (919) 956-7901

Other identifiers

IdentifierTypeStateIssuer
8700394MedicaidNC

Other names

  • ACRA Other name

Other providers in Durham, NC

All providers in Durham, NC · Case Manager/Care Coordinator in North Carolina

Sources for this page

Verify at the official NPI Registry.