Organization
COMMON GROUND LIVING LLC
Active
Other names
common ground at riverknoll
Organization subpart
No
Provider details
NPI number
Authorized official
DANA JACKSON BARNES BS (MANAGER)
(919) 696-1772
Entity
Organization
Contact information
Practice address
1616 RIVERKNOLL DR, RALEIGH, NC 27610-4580
(919) 696-1772
Mailing address
201 PARK AT NORTH HILLS APT 410, RALEIGH, NC 27609
(919) 696-1772
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
7806157
NC
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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