# CARE OF DIVERSITY, LLC

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

## Provider details

- **NPI number:** 1457717548
- **Authorized official:** SENETRA REYNOLDS (MEMBER/ADMINISTRATOR)
- **Authorized official phone:** (336) 627-3336

## Contact information

- **Practice address:** 1235 NORMAN DR, APT 1B, EDEN, NC 27288-5978
- **Practice address phone:** (336) 627-3336
- **Mailing address:** 104 BOULEVARD, EDEN, NC 27288-5220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-079-101 | NC | Yes |

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 01/06/2016