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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL-092-026

Other Provider Identifiers:

IssuerNumberStateType
7802071NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1



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