Organization
LINDAS FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LEE HODGE (OWNER ADMINISTRATOR)
(919) 231-9838
Entity
Organization
Contact information
Practice address
816 PEYTON STREET, RALEIGH, NC 27610-3544
(919) 231-9838
(919) 212-8203
Mailing address
816 PEYTON STREET, RALEIGH, NC 27610-3544
(919) 231-9838
(919) 212-8203
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
FCI092085
NC
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804599
—
NC
Enumeration date
02/28/2007
Last updated
07/15/2008
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