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Organization

REHOBOTH GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUDE OGUNLEYE (MANAGER)
(206) 321-0485
Entity
Organization

Contact information

Practice address
844 NC HIGHWAY 39 S, LOUISBURG, NC 27549-7114
(919) 340-0211
Mailing address
1401 JONES AVE NE, RENTON, WA 98056-2847
(206) 321-0485

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL035023
NC

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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