Organization
LYNNS CARE HOME AT SANDY FORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE CASSELLA (ADMINISTRATOR)
(919) 621-9670
Entity
Organization
Contact information
Practice address
6809 SANDY FORKS RD, RALEIGH, NC 27615-7318
(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
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
08/19/2025
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