Organization
ALLIANCE OF AIDS SERVICES - CAROLINA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYN M CLYMORE MS (EXECUTIVE DIRECTOR)
(919) 834-2437
Entity
Organization
Contact information
Practice address
324 S HARRINGTON ST, SUITE 101, RALEIGH, NC 27603-1847
(919) 834-2437
(919) 834-3404
Mailing address
PO BOX 12583, RALEIGH, NC 27605-2583
(919) 834-2437
(919) 834-3404
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL068016
NC
311ZA0620X
Adult Care Home Facility
FCL092014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801135
—
NC
05
—
7805513
—
NC
Enumeration date
02/20/2007
Last updated
09/11/2025
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