Provider Demographics
NPI:1558522706
Name:ACTUALITIES LIMITED
Entity Type:Organization
Organization Name:ACTUALITIES LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:919-403-6900
Mailing Address - Street 1:PO BOX 2003
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27702-2003
Mailing Address - Country:US
Mailing Address - Phone:919-403-6900
Mailing Address - Fax:919-403-6900
Practice Address - Street 1:208 DOWD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2442
Practice Address - Country:US
Practice Address - Phone:919-403-6900
Practice Address - Fax:919-403-6900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC005297251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005853Medicaid
NC6005853Medicaid