Organization
SOUTHEASTERN WAKE ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN SANDERS (EXECUTIVE DIRECTOR)
(919) 212-8580
Entity
Organization
Contact information
Practice address
3401 CARL SANDBURG CT, RALEIGH, NC 27610-2049
(919) 212-8580
(919) 212-8581
Mailing address
PO BOX 46775, RALEIGH, NC 27620-6775
(919) 212-8580
(919) 212-8581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3408446
NC
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
ORL-092-001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408446
—
NC
Enumeration date
06/17/2007
Last updated
08/26/2022
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