Organization
CORFU GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE KIRBY (OWNER)
(919) 669-2721
Entity
Organization
Contact information
Practice address
7001 CORFU PL, WENDELL, NC 27591-6720
(919) 366-9181
(919) 366-1090
Mailing address
7001 CORFU PL, WENDELL, NC 27591-6720
(919) 366-9181
(919) 366-1090
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408222
—
NC
Enumeration date
03/12/2007
Last updated
08/08/2008
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