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Organization

FAITH HOMES 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CECILIA WAMBUI MUCUGU (ADMINISTRATOR)
(919) 279-8060
Entity
Organization

Contact information

Practice address
1210 RIVERBIRCH DR, KNIGHTDALE, NC 27545-8850
(919) 266-5956
Mailing address
PO BOX 40155, RALEIGH, NC 27629-0155
(919) 279-8060

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-689
NC

Other

Enumeration date
12/17/2007
Last updated
12/17/2007
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