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Organization
LYNNS CARE HOME AT SANDY FORKS, LLC
Active
Organization
LYNNS CARE HOME AT SANDY FORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE CASSELLA (ADMINISTRATOR)
(919) 621-9670
Entity
Organization
Contact information
Practice address
6809 SANDY FORKS RD, RALEIGH, NC 27615-7318
(919) 621-9670
(919) 516-0796
Mailing address
PO BOX 10215, RALEIGH, NC 27605-0215
(919) 621-9670
(919) 516-0796
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/10/2021
Last updated
08/19/2025
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