# DURHAM RIDGE ASSISTED LIVING

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

## Provider details

- **NPI number:** 1578600680
- **Authorized official:** MR. DANIEL KEVIN LUSSIEN (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (919) 596-9464

## Contact information

- **Practice address:** 3420 WAKE FOREST HWY, DURHAM, NC 27703-0429
- **Practice address phone:** (919) 596-9464
- **Practice address fax:** (919) 957-8915
- **Mailing address:** PO BOX 11429, DURHAM, NC 27703-0429
- **Mailing address phone:** (919) 596-9464
- **Mailing address fax:** (919) 957-8915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | HAL032080 | NC | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NC | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 07/28/2008