# MAPLEWOOD DRIVE FCH

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

## Provider details

- **NPI number:** 1669551990
- **Authorized official:** SANDRA HOLLOWAY (BUSINESS OFFICE)
- **Authorized official phone:** (919) 220-0114

## Contact information

- **Practice address:** 1430 MAPLEWOOD DR, DURHAM, NC 27704-3431
- **Practice address phone:** (919) 220-0114
- **Mailing address:** 1430 MAPLEWOOD DR, DURHAM, NC 27704-3431
- **Mailing address phone:** (919) 220-0114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-032-018 | NC | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020