Organization
309 CLIFTON RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEDOJA ADEYEYE (MANAGER)
(646) 248-1767
Entity
Organization
Contact information
Practice address
1030 N ROGERS LN STE 121-1194, RALEIGH, NC 27610-6083
(646) 248-1767
Mailing address
1030 N ROGERS LN STE 121-1194, RALEIGH, NC 27610-6083
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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