Organization
CHEETHAM FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANSFORD NYLANDER THOMPSON (PRESIDENT)
(919) 795-8338
Entity
Organization
Contact information
Practice address
2726 NEWSOME ST, RALEIGH, NC 27603-2956
(919) 325-0671
(919) 325-0671
Mailing address
5309 FALLS OF NEUSE RD, RALEIGH, NC 27609-4700
(919) 676-8062
(919) 676-8062
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-092-538-27G.5600
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804824
—
NC
Enumeration date
03/17/2007
Last updated
06/18/2008
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