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Tisa Rogers
Adult Care Home Facility in Durham, North Carolina
NPI 1295504017

Tisa Rogers is an Adult Care Home Facility based in Durham, NC and is specialized in Adult Care Home. Tisa Rogers practices in Durham, NC. The NPI Number for Tisa Rogers is 1295504017 and holds a License No. (North Carolina).

The current practice location address for Tisa Rogers is 306 Cherry Grove Street, Durham, NC and can be reached out via phone at 980-286-2713 and via fax at 919-294-6164.

Location: 306 Cherry Grove Street, Durham, NC, 27703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295504017
Provider Name
Tisa Rogers
Credential
Provider Entity Type
Individual
Gender
Female
Address
306 Cherry Grove Street, Durham, NC, 27703
Phone Number
980-286-2713
Fax Number
919-294-6164
Provider Enumeration Date
12/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
306 Cherry Grove Street
City
Durham
State
North Carolina
Zip
27703
Phone Number
980-286-2713
Fax Number
919-294-6164
person
Provider Business Mailing Address Details
Address
306 Cherry Grove Street
City
Durham
State
North Carolina
Zip
27703
Phone Number
980-286-2713
Fax Number
919-294-6164
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
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.
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