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Organization
BRADLEY HOME CARING FOR WAKE COMMUNITY AND CAROLINAS
Active
Organization
BRADLEY HOME CARING FOR WAKE COMMUNITY AND CAROLINAS
Active
Other names
Kimberly House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORDELIA AKAGHA MPH (DIRECTOR)
(919) 772-9382
Entity
Organization
Contact information
Practice address
6420 MALIBU DR, RALEIGH, NC 27603-4908
(919) 772-9382
(919) 772-9382
Mailing address
PO BOX 2055, GARNER, NC 27529-2055
(919) 772-9382
(919) 772-9382
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-412
NC
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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