Provider Demographics
NPI:1619161353
Name:THE ARC OF DURHAM COUNTY
Entity Type:Organization
Organization Name:THE ARC OF DURHAM COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-CHAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-493-8141
Mailing Address - Street 1:3500 WESTGATE DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2567
Mailing Address - Country:US
Mailing Address - Phone:919-493-8141
Mailing Address - Fax:919-489-3434
Practice Address - Street 1:3500 WESTGATE DR
Practice Address - Street 2:SUITE 303
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2567
Practice Address - Country:US
Practice Address - Phone:919-493-8141
Practice Address - Fax:919-489-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408798OtherCAP RESPITE