# CARILLON ASSISTED LIVING OF FUQUAY VARINA II

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Calyx Living of Fuquay Varina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821783697
- **Authorized official:** KAREN MORIARTY (CEO)
- **Authorized official phone:** (919) 852-4000

## Contact information

- **Practice address:** 1121 E ACADEMY ST, FUQUAY VARINA, NC 27526-2606
- **Practice address phone:** (919) 808-1007
- **Mailing address:** 4901 WATERS EDGE DR STE 200, RALEIGH, NC 27606-2464
- **Mailing address phone:** (919) 852-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2023
- **Last updated:** 04/07/2023