# SUSAN DURHAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOLDEN YEARS FAMILY CARE HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437293594
- **Authorized official:** MRS. SUSAN DURHAM LPN (OWNER)
- **Authorized official phone:** (919) 730-7405

## Contact information

- **Practice address:** 410 MONTFORD DR, ROXBORO, NC 27573-4624
- **Practice address phone:** (336) 597-4270
- **Practice address fax:** (336) 597-4270
- **Mailing address:** 410 MONTFORD DR, ROXBORO, NC 27573-4624
- **Mailing address phone:** (336) 597-4270
- **Mailing address fax:** (336) 597-4270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | FCL073011 | NC | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 01/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7809008 | — | NC |