# NANAS TOUCH FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1154528222
- **Authorized official:** JACKIE K MBURU M.ED (PRESIDENT)
- **Authorized official phone:** (919) 754-0529

## Contact information

- **Practice address:** 2604 ADCOX PL, RALEIGH, NC 27610-5802
- **Practice address phone:** (919) 673-7717
- **Practice address fax:** (919) 754-0529
- **Mailing address:** 2604 ADCOX PL, RALEIGH, NC 27610-5802
- **Mailing address phone:** (919) 673-7717
- **Mailing address fax:** (919) 754-0529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | FCH092129 | NC | — |
| 311ZA0620X | Adult Care Home Facility | FCH092129 | NC | Yes |

## Other

- **Enumeration date:** 07/01/2007
- **Last updated:** 08/26/2009
