CHEETHAM FAMILY CARE HOME
Assisted Living, Mental Illness
Raleigh, North Carolina
Provider NPI: 1811011802
Organization Information:Organization Name: CHEETHAM FAMILY CARE HOME
Practice Location:
2726 NEWSOME ST RALEIGH, NC 27603 US
Tel: 919-325-0671 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:
2726 NEWSOME ST RALEIGH, NC 27603 US
Tel: 919-325-0671 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness | NC | MHL-092-538-27G.5600 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7804824 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin