OrganizationActive
Keywest Center Inc.
NPI 1356492425 · Intellectual Disabilities Intermediate Care Facility · Durham, NC
Provider details
- NPI number
- 1356492425
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Tony Bullock, Administrator
- License
- MHL-032-049 (NC)
Practice location
1722 Athens Ave.
Durham, NC 27707-4312
Phone: (919) 682-9392
Fax: (919) 683-1774
Mailing address
1722 Athens Ave.
Durham, NC 27707-4312
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.