Organization
GRACEFUL LIVING ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KUBURAT GANIYU RN (MANAGER)
(919) 669-8746
Entity
Organization
Contact information
Practice address
624 JONES FERRY RD, CARRBORO, NC 27510-2157
(919) 933-9570
(919) 933-9572
Mailing address
624 JONES FERRY ROAD, PO BOX 99, CARRBORO, NC 27510
(919) 933-9570
(919) 933-9572
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/18/2024
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