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Organization
PETTIFORD HOMES DBA MCDANIEL HOMES
Active
Organization
PETTIFORD HOMES DBA MCDANIEL HOMES
Active
Parent organization
MCDANIEL HOMES,LLC
Other names
McDaniel Homes, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCDANIEL HOMES,LLC
Authorized official
LISA PETTIFORD (MANAGER)
(919) 308-6672
Entity
Organization
Contact information
Practice address
315 OLD ALLENSVILLE ROAD, ROXBORO, NC 27574
(336) 599-9863
Mailing address
PO BOX 1659, ROXBORO, NC 27573-1659
(336) 599-9863
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
MHL-073-066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418621
—
NC
Enumeration date
01/29/2014
Last updated
03/02/2021
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