Organization
GLENDAS GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE JOHNSON (OWNER)
(919) 348-7775
Entity
Organization
Contact information
Practice address
4361 AUBURN HILLS DR, RALEIGH, NC 27616-9309
(919) 348-7775
Mailing address
4361 AUBURN HILLS DR, RALEIGH, NC 27616-9309
(919) 348-7775
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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