# LISA PETTIFORD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARE HEALTH SERVICES\#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790979193
- **Authorized official:** MRS. LISA SPENCER PETTIFORD (OWNER)
- **Authorized official phone:** (919) 599-3691

## Contact information

- **Practice address:** 502 HUGO STREET, DURHAM, NC 27704-0335
- **Practice address phone:** (919) 599-3691
- **Practice address fax:** (919) 493-2112
- **Mailing address:** PO BOX 15335, DURHAM, NC 27704-0335
- **Mailing address phone:** (919) 599-3691
- **Mailing address fax:** (919) 493-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 032-406 | NC | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 07/10/2008