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Organization
SUSAN DURHAM
Active
Organization
SUSAN DURHAM
Active
Other names
GOLDEN YEARS FAMILY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN DURHAM LPN (OWNER)
(919) 730-7405
Entity
Organization
Contact information
Practice address
410 MONTFORD DR, ROXBORO, NC 27573-4624
(336) 597-4270
(336) 597-4270
Mailing address
410 MONTFORD DR, ROXBORO, NC 27573-4624
(336) 597-4270
(336) 597-4270
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
FCL073011
NC
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7809008
—
NC
Enumeration date
02/20/2007
Last updated
01/10/2025
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