LONG ACRES FAMILY CARE HOME #2
Adult Care Home
Raleigh, North Carolina
Provider NPI: 1306988530
Organization Information:Organization Name: LONG ACRES FAMILY CARE HOME #2
Practice Location:
404 PARNELL DR RALEIGH, NC 27610 US
Tel: 919-231-1404 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
404 PARNELL DR RALEIGH, NC 27610 US
Tel: 919-231-1404 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | FCL-092-026 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7802071 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin