34D2019554 CLIA NUMBER - ZEBULON HOUSE

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Laboratory Demographics

CLIA Number: 34D2019554

Facility Name: ZEBULON HOUSE

Facility Address:
551 PONY ROAD
ZEBULON, NC
ZIP 27597
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Facility Phone Number: 919 269-6061

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1922245828

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	34D2019554
LAB Type	Assisted Living Facility
Facility Name	ZEBULON HOUSE
Street	551 PONY ROAD
City	ZEBULON
State	NC
ZIP	27597
Phone	919 269-6061
CertificateType	4
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	Waiver

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