Organization
ALBERTACARE, LLC
Active
Parent organization
ALBERTACARE, LLC
Other names
AlbertaCare Residential
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTACARE, LLC
Authorized official
TARSHIA MCCRAY PULLEY (DIRECTOR)
(919) 916-7783
Entity
Organization
Contact information
Practice address
519 E CLUB BLVD, DURHAM, NC 27704-4501
(919) 908-6480
Mailing address
9121 ANSON WAY STE 200, RALEIGH, NC 27615-5857
(919) 916-7783
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-032-622
FACILITY LICENSE NUMBER
NC
Enumeration date
03/03/2022
Last updated
03/03/2022
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