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Organization
DURHAM RIDGE ASSISTED LIVING
Active
Organization
DURHAM RIDGE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KEVIN LUSSIEN (BUSINESS OFFICE MANAGER)
(919) 596-9464
Entity
Organization
Contact information
Practice address
3420 WAKE FOREST HWY, DURHAM, NC 27703-0429
(919) 596-9464
(919) 957-8915
Mailing address
PO BOX 11429, DURHAM, NC 27703-0429
(919) 596-9464
(919) 957-8915
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL032080
NC
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NC
Other
Enumeration date
01/30/2007
Last updated
07/28/2008
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