Organization
LYNN'S CARE HOME AT RIVERSIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN MARIE CASSELLA (OWNER/ADMINISTRATOR)
(919) 621-9670
Entity
Organization
Contact information
Practice address
5614 APALACHICULA DR, RALEIGH, NC 27616-5826
(919) 621-9670
(919) 516-0796
Mailing address
PO BOX 10215, RALEIGH, NC 27605-0215
(919) 621-9670
(919) 516-0796
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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