SPRINGHAVEN FCH # 2
Adult Care Home
Raleigh, North Carolina
Provider NPI: 1619015591
Organization Information:Organization Name: SPRINGHAVEN FCH # 2
Practice Location:
1308 E LANE ST RALEIGH, NC 27610 US
Tel: 919-828-3834 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
1308 E LANE ST RALEIGH, NC 27610 US
Tel: 919-828-3834 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 | FCL092100 |