Supportive Spaces Adult Care LLC
NPI #1275371015 in Zebulon, North Carolina
Provider Information
- NPI Number
- 1275371015
- Entity Type
- Organization
- Organization Name
- Supportive Spaces Adult Care LLC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Jul 16, 2024
- Last Updated
- Jul 17, 2024
Practice Location
- Address
- 116 MORGAN DR
- City
- Zebulon
- State
- North Carolina
- ZIP Code
- 27597-5959
- Phone
- (919) 671-1989
Authorized Official
- Name
- MR. DESHON WISE
- Title
- DIRECTOR
- Phone
- (919) 671-1989
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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