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Organization
LONG ACRES FAMILY CARE HOME #2
Active
Organization
LONG ACRES FAMILY CARE HOME #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANSFORD NYLANDER THOMPSON (PRESIDENT)
(919) 795-8338
Entity
Organization
Contact information
Practice address
404 PARNELL DR, RALEIGH, NC 27610-3402
(919) 231-1404
Mailing address
1133 VILLA GREEN CT, RALEIGH, NC 27612-2488
(919) 676-8062
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802071
—
NC
Enumeration date
02/13/2007
Last updated
08/22/2020
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