Organization
CAROLINA ASSISTED LIVING, LLC
Active
Organization
CAROLINA ASSISTED LIVING, LLC
Active
Other names
Homeplace of Durham
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAITH COBB (EXECUTIVE DIRECTOR)
(919) 484-8518
Entity
Organization
Contact information
Practice address
1002 E. HWY 54, DURHAM, NC 27713
(919) 484-8518
(919) 484-8520
Mailing address
1002 E. HWY 54, DURHAM, NC 27713
(919) 484-8518
(919) 484-8520
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-032-015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803246
—
NC
Enumeration date
11/15/2006
Last updated
08/22/2020
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