Organization
GARRISONS FAMILY CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELILAH JACKSON GARRISON RN BSN (OWNER OPERATOR)
(919) 847-5248
Entity
Organization
Contact information
Practice address
4333 DURHAM RD, RALEIGH, NC 27614-8134
(919) 847-5248
(919) 847-5248
Mailing address
4333 DURHAM RD, RALEIGH, NC 27614-8134
(919) 847-5248
(919) 847-5248
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL092517
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804710
—
NC
Enumeration date
06/21/2007
Last updated
06/23/2008
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