Jua Valley Family Care Home #2
NPI #1225382070 in Durham, North Carolina
Provider Information
- NPI Number
- 1225382070
- Entity Type
- Organization
- Organization Name
- Jua Valley Family Care Home #2
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JUA VALLEY FAMILY CARE HOME
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 1, 2012
- Last Updated
- Nov 1, 2012
Practice Location
- Address
- 2 JUA VLY
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27707-1507
- Phone
- (866) 654-1113
Authorized Official
- Name
- MRS. KANISHA DICKENS, LPN
- Title
- FAMILY CARE ADMINISTRATOR
- Phone
- (866) 654-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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