MR. CHARLES HOWARD SAMMONS
Adult Care Home
Raleigh, North Carolina
Provider NPI: 1578763975
Provider Information:MR. CHARLES HOWARD SAMMONS
Practice Location:
3129 TARHEEL CLUBHOUSE RD RALEIGH, NC 27604 US
Tel: 919-217-0112 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 | MHL-092-470 |