Organization
ELSIE-DORIS FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAQUITA TAMECIA JONES (OWNER/ADMINISTRATOR)
(919) 949-1175
Entity
Organization
Contact information
Practice address
306 CHERRY GRV, DURHAM, NC 27703-3006
(919) 949-1175
(919) 794-8106
Mailing address
PO BOX 3375, DURHAM, NC 27702-3375
(919) 949-1175
(919) 794-8106
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL032088
NC
Other
Enumeration date
02/17/2008
Last updated
02/17/2008
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