Organization
MAPLEWOOD DRIVE FCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HOLLOWAY (BUSINESS OFFICE)
(919) 220-0114
Entity
Organization
Contact information
Practice address
1430 MAPLEWOOD DR, DURHAM, NC 27704-3431
(919) 220-0114
Mailing address
1430 MAPLEWOOD DR, DURHAM, NC 27704-3431
(919) 220-0114
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-032-018
NC
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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