34D2019495 CLIA NUMBER - SENTER'S REST HOME

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Laboratory Demographics

CLIA Number: 34D2019495

Facility Name: SENTER'S REST HOME

Facility Address:
40 RAWLS CLUB ROAD
FUQUAY VARINA, NC
ZIP 27526
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Facility Phone Number: 919 552-6264

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1124335211

Taxonomy: 311ZA0620X - Custodial Care Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	34D2019495
LAB Type	Assisted Living Facility
Facility Name	SENTER'S REST HOME
Street	40 RAWLS CLUB ROAD
City	FUQUAY VARINA
State	NC
ZIP	27526
Phone	919 552-6264
CertificateType	4
CertificateEffectiveDate	1/31/2023
CertificateExpirationDate	1/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024