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Organization

GRAND CYPRESS COURT AFL HOME LLC

Active
Parent organization
GRAND CYPRESS COURT AFL HOME LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRAND CYPRESS COURT AFL HOME LLC
Authorized official
MISS HENRIETTA JOHNSON (DIRECTOR)
(919) 272-2594
Entity
Organization

Contact information

Practice address
4729 GRAND CYPRESS CT, RALEIGH, NC 27604-5877
(919) 272-2594
(919) 272-2594
Mailing address
4729 GRAND CYPRESS CT, RALEIGH, NC 27604-5877
(919) 272-2594
(919) 272-2594

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
07/31/2026
Last updated
08/07/2026
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