Organization
SWIFT CREEK RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDYTHE JAMES-MCMILLAN (OWNER-)
(919) 233-0576
Entity
Organization
Contact information
Practice address
5003 YATES MILL POND RD, RALEIGH, NC 27606-8905
(919) 233-0576
Mailing address
5003 YATES MILL POND RD, RALEIGH, NC 27606-8905
(919) 233-0576
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-092033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11
—
NC
Enumeration date
06/20/2007
Last updated
08/22/2020
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