# BETHESDA FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1962156034
- **Authorized official:** EBERECHUKWU PATRICIA IRECHUKWU (ADMNISTRATOR/OWNER)
- **Authorized official phone:** (919) 986-4611

## Contact information

- **Practice address:** 984 AVONDALE DR, CLAYTON, NC 27520-2896
- **Practice address phone:** (919) 986-4611
- **Mailing address:** 984 AVONDALE DR, CLAYTON, NC 27520-2896
- **Mailing address phone:** (919) 986-4611

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2022
- **Last updated:** 02/22/2022