Organization
FAIRCHILD HOMES
Active
Organization
FAIRCHILD HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SOCORRO GARCIA (OWNER)
(919) 278-6943
Entity
Organization
Contact information
Practice address
7053 JEFFREYS CREEK LN, RALEIGH, NC 27616-5552
(919) 376-3798
(919) 376-3798
Mailing address
7053 JEFFREYS CREEK LN, RALEIGH, NC 27616-5552
(919) 376-3798
(919) 376-3798
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-092-696
NC
347C00000X
Private Vehicle
MH-092-696
NC
385H00000X
Respite Care
MHL-092-696
NC
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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