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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