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Organization

BEGIN AGAIN FAMILY CARE HOME TWO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER D PICKETT (SECRETARY)
(919) 682-6079
Entity
Organization

Contact information

Practice address
407 N HYDE PARK AVE, DURHAM, NC 27703-3015
(919) 682-6079
(919) 682-6079
Mailing address
407 N HYDE PARK AVE, DURHAM, NC 27703-3015
(919) 682-6079
(919) 682-6079

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FC L-032-003
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7803643
NC
Enumeration date
02/26/2007
Last updated
08/22/2020
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