Canaan Care Home, LLC
NPI #1356475784 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1356475784
- Entity Type
- Organization
- Organization Name
- Canaan Care Home, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Feb 26, 2013
Practice Location
- Address
- 2804 STIRRUP CT
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-6746
- Phone
- (919) 556-4980
Authorized Official
- Name
- DANIEL K. GATABAKI
- Title
- ADMINISTRATOR
- Phone
- (919) 556-4980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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