# THE ROSALIE FOUNDATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033306360
- **Authorized official:** MS. SHANICKA LYNCH (CEO/OWNER)
- **Authorized official phone:** (919) 231-2826

## Contact information

- **Practice address:** 772 SAINT GEORGE RD, RALEIGH, NC 27610-3757
- **Practice address phone:** (919) 231-2826
- **Practice address fax:** (919) 654-7770
- **Mailing address:** 2532 MAYBROOK CROSSING DR, RALEIGH, NC 27610-3296
- **Mailing address phone:** (919) 231-2826
- **Mailing address fax:** (919) 654-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-092-691 | NC | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/24/2007