Organization
PRINCESS PINES FAMILY CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI BASIL WATSON (ADMINISTRATOR)
(919) 452-7716
Entity
Organization
Contact information
Practice address
3811 WAKE FOREST RD, DURHAM, NC 27703-3605
(919) 452-7716
Mailing address
4 GWENDOLYN CIR, DURHAM, NC 27703-2903
(919) 452-7716
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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