Organization
JUA VALLEY FAMILY CARE HOME #2
Active
Parent organization
JUA VALLEY FAMILY CARE HOME
Other names
JUA VALLEY FAMILY CARE HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUA VALLEY FAMILY CARE HOME
Authorized official
MRS. KANISHA DICKENS LPN (FAMILY CARE ADMINISTRATOR)
(866) 654-1113
Entity
Organization
Contact information
Practice address
2 JUA VLY, DURHAM, NC 27707-1507
(866) 654-1113
(919) 439-0222
Mailing address
2 JUA VLY, DURHAM, NC 27707-1507
(866) 654-1113
(919) 439-0222
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-032-122
NC
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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