# CARILLON ASSISTED LIVING OF RALEIGH-OLD WAKE FOREST ROAD

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

## Provider details

- **NPI number:** 1184062937
- **Authorized official:** MR. JAMES KROPP (CFO)
- **Authorized official phone:** (919) 852-4000

## Contact information

- **Practice address:** 5219 OLD WAKE FOREST RD, RALEIGH, NC 27609-5007
- **Practice address phone:** (919) 876-6316
- **Mailing address:** 4901 WATERS EDGE DR, SUITE 200, RALEIGH, NC 27606-2464
- **Mailing address phone:** (919) 852-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL-092-187 | NC | Yes |

## Other

- **Enumeration date:** 06/13/2013
- **Last updated:** 06/13/2013