| Long Acres Family Care Home#1 | |
|
400 Parnell Dr Raleigh NC 27610-3402 | |
| (919) 231-7500 | |
| Not Available |
| Full Name | Long Acres Family Care Home#1 |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 400 Parnell Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Ransford Nylander Thompson (PRESIDENT) |
| Authorized Official Contact | 9197958338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Acres Family Care Home#1 1133 Villa Green Ct Raleigh NC 27612-2488 Ph: (910) 676-8062 | Long Acres Family Care Home#1 400 Parnell Dr Raleigh NC 27610-3402 Ph: (919) 231-7500 |
| NPI Number | 1154463693 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154463693 | NPI | - | NPPES |
| 7802070 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | FCL-092-025 (North Carolina) | Primary |
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