Provider Demographics
NPI:1639491392
Name:RONALD MCDONALD HOUSE OF DURHAM
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE OF DURHAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-286-1206
Mailing Address - Street 1:506 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4760
Mailing Address - Country:US
Mailing Address - Phone:919-286-9305
Mailing Address - Fax:919-286-7307
Practice Address - Street 1:506 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4760
Practice Address - Country:US
Practice Address - Phone:919-286-9305
Practice Address - Fax:919-286-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable