# REHOBOTH GROUP, LLC

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

## Provider details

- **NPI number:** 1962753954
- **Authorized official:** MR. JUDE OGUNLEYE (MANAGER)
- **Authorized official phone:** (206) 321-0485

## Contact information

- **Practice address:** 844 NC HIGHWAY 39 S, LOUISBURG, NC 27549-7114
- **Practice address phone:** (919) 340-0211
- **Mailing address:** 1401 JONES AVE NE, RENTON, WA 98056-2847
- **Mailing address phone:** (206) 321-0485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL035023 | NC | Yes |

## Other

- **Enumeration date:** 10/01/2012
- **Last updated:** 10/01/2012