Organization
THE ROSALIE FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANICKA LYNCH (CEO/OWNER)
(919) 231-2826
Entity
Organization
Contact information
Practice address
772 SAINT GEORGE RD, RALEIGH, NC 27610-3757
(919) 231-2826
(919) 654-7770
Mailing address
2532 MAYBROOK CROSSING DR, RALEIGH, NC 27610-3296
(919) 231-2826
(919) 654-7770
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-092-691
NC
Other
Enumeration date
10/01/2007
Last updated
10/24/2007
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