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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
NCMHL-092-538-27G.5600

Other Provider Identifiers:

IssuerNumberStateType
7804824NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS NC - Page 1