Organization
HELMS ADULT CARE HOME 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS A HELMS (ADMINISTRATOR)
(919) 851-3715
Entity
Organization
Contact information
Practice address
502 CAROLINA AVE, RALEIGH, NC 27606-1604
(919) 851-3715
Mailing address
502 CAROLINA AVE, RALEIGH, NC 27606-1604
(919) 851-3715
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
FCL092006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802180
—
NC
Enumeration date
05/20/2008
Last updated
05/20/2008
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