# CORFU GROUP HOME

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

## Provider details

- **NPI number:** 1730211392
- **Authorized official:** MRS. MICHELLE KIRBY (OWNER)
- **Authorized official phone:** (919) 669-2721

## Contact information

- **Practice address:** 7001 CORFU PL, WENDELL, NC 27591-6720
- **Practice address phone:** (919) 366-9181
- **Practice address fax:** (919) 366-1090
- **Mailing address:** 7001 CORFU PL, WENDELL, NC 27591-6720
- **Mailing address phone:** (919) 366-9181
- **Mailing address fax:** (919) 366-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL092552 | NC | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 08/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7804885 | — | NC |