LAKEWHEELER ROAD FAMILY CARE HOME NPI 1689891814

NPI Information

LAKEWHEELER ROAD FAMILY CARE HOME is a residential treatment facility physical disabilities in Raleigh, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. LAKEWHEELER ROAD FAMILY CARE HOME NPI is 1689891814. The provider is registered as an organization entity type.

The provider's business location address is:

1315 LAKE WHEELER RD
RALEIGH, NC
ZIP 27603-231
Phone: (919) 833-3763
Fax: (919) 833-3763

The provider's authorized official is Mary B Moslak .
The authorized official title is Administrator and has the following contact phone number (919) 833-3763.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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