# FAIRMONT HOMES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952606717
- **Authorized official:** GARRETT WATKINS (OWNER)
- **Authorized official phone:** (919) 522-9896

## Contact information

- **Practice address:** 2105 GRESHAM LAKE RD, RALEIGH, NC 27615-4204
- **Practice address phone:** (919) 522-9896
- **Mailing address:** 4428 LOUISBURG RD, SUITE 105, RALEIGH, NC 27616-4302
- **Mailing address phone:** (919) 522-9896

## Taxonomy

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

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 01/25/2011