# COMMON GROUND LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** common ground at riverknoll
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902391915
- **Authorized official:** DANA JACKSON BARNES BS (MANAGER)
- **Authorized official phone:** (919) 696-1772

## Contact information

- **Practice address:** 1616 RIVERKNOLL DR, RALEIGH, NC 27610-4580
- **Practice address phone:** (919) 696-1772
- **Mailing address:** 201 PARK AT NORTH HILLS APT 410, RALEIGH, NC 27609
- **Mailing address phone:** (919) 696-1772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 7806157 | NC | Yes |

## Other

- **Enumeration date:** 06/22/2018
- **Last updated:** 06/22/2018