Organization
SPRINGHAVEN FCH # 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL DIANNE TITUES'JONES (OWNER)
(252) 813-8416
Entity
Organization
Contact information
Practice address
1308 E LANE ST, RALEIGH, NC 27610-2322
(919) 828-3834
(919) 496-3714
Mailing address
1308 E LANE ST, PO BOX 25718, RALEIGH, NC 27610-2322
(919) 828-3834
(919) 496-3714
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL092100
NC
Other
Enumeration date
02/02/2007
Last updated
09/01/2011
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