LISA PETTIFORD NPI 1679768766

NPI Information

LISA PETTIFORD is an adult care home custodial care facility in Durham, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. LISA PETTIFORD NPI is 1679768766. The provider is registered as an organization entity type.

The provider's business location address is:

2801 DARROW RD.
DURHAM, NC
ZIP 27704-335
Phone: (919) 493-2100
Fax: (919) 493-2112

The provider's authorized official is Lisa Spencer Pettiford .
The authorized official title is Owner and has the following contact phone number (919) 599-3691.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 7/10/2008.

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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