SJV 1 RALEIGH OPCO LLC NPI 1215529110

NPI Information

SJV 1 RALEIGH OPCO LLC is an assisted living facility in Raleigh, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SJV 1 RALEIGH OPCO LLC NPI is 1215529110. The provider is registered as an organization entity type.

The provider's business location address is:

4801 EDWARDS MILL RD
RALEIGH, NC
ZIP 27612-417
Phone: (919) 787-0777
Fax: (919) 787-6105

The provider's authorized official is Michelle Minor .
The authorized official title is Director Of Operation and has the following contact phone number (919) 787-0777.

The enumeration date for this NPI number is 2/11/2021 and was last updated on 2/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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