Organization
SUSAN DURHAM
Active
Other names
GOLDEN YEARS FAMILY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN DURHAM LPN (OWNER)
(919) 730-7405
Entity
Organization
Contact information
Practice address
410 MONTFORD DR, ROXBORO, NC 27573-4624
(336) 597-4270
(336) 597-4270
Mailing address
410 MONTFORD DR, ROXBORO, NC 27573-4624
(336) 597-4270
(336) 597-4270
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
FCL073011
NC
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7809008
—
NC
Enumeration date
02/20/2007
Last updated
01/10/2025
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