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Organization

CYRUS HOME LLC

Active
Other names
Cyrus Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUEASE CYRUS (OWNER/OPERATOR)
(919) 217-0015
Entity
Organization

Contact information

Practice address
3101 GINGER LAKE CT, ZEBULON, NC 27597-5738
(919) 217-0015
(919) 404-8252
Mailing address
3101 GINGER LAKE CT, ZEBULON, NC 27597-5738
(919) 217-0015
(919) 404-8252

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL092262
NC

Other

Enumeration date
12/05/2013
Last updated
07/21/2022
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