Organization
NANAS TOUCH FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE K MBURU M.ED (PRESIDENT)
(919) 754-0529
Entity
Organization
Contact information
Practice address
2604 ADCOX PL, RALEIGH, NC 27610-5802
(919) 673-7717
(919) 754-0529
Mailing address
2604 ADCOX PL, RALEIGH, NC 27610-5802
(919) 673-7717
(919) 754-0529
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
FCH092129
NC
311ZA0620X
Adult Care Home Facility
Primary
FCH092129
NC
Other
Enumeration date
07/01/2007
Last updated
08/26/2009
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