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Organization
ACE ADULT FAMILY CARE LLC
Active
Organization
ACE ADULT FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CHARLES N IBEZIAKO (OWNER)
(919) 426-0280
Entity
Organization
Contact information
Practice address
1924 BEVERLY RD, ROCKY MOUNT, NC 27801-6313
(919) 426-0280
Mailing address
1405 GREEN EDGE TRL, WAKE FOREST, NC 27587-6120
(919) 426-0280
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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