Organization
PEACH TREE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA RAYNOR (HOME HEALTH AIDE)
(919) 866-9722
Entity
Organization
Contact information
Practice address
502 CAROLINA AVE, RALEIGH, NC 27606-1604
(919) 866-9722
(919) 803-1951
Mailing address
5164 SIMMONS BRANCH TRL, RALEIGH, NC 27606-7606
(919) 866-9722
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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