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Jackson Odondi
Adult Care Home Facility in Durham, North Carolina
NPI 1356484877

Jackson Odondi is an Adult Care Home Facility based in Durham, NC and is specialized in Adult Care Home. Jackson Odondi practices in Durham, NC. The NPI Number for Jackson Odondi is 1356484877 and holds a License No. HAL-032-073 (North Carolina).

The current practice location address for Jackson Odondi is 3812 Booker Ave, Durham, NC and can be reached out via phone at 919-544-0874 and via fax at 919-544-0874.

Location: 3812 Booker Ave, Durham, NC, 27704-0927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356484877
Provider Name
Jackson Odondi
Credential
Provider Entity Type
Organization
Address
3812 Booker Ave, Durham, NC, 27704-0927
Phone Number
919-544-0874
Fax Number
919-544-0874
Provider Enumeration Date
02/14/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805238 05 NC
institution
Provider Business Practice Location Address Details
Address
3812 Booker Ave
City
Durham
State
North Carolina
Zip
27713-1126
Phone Number
919-544-0874
Fax Number
919-544-0874
person
Provider Business Mailing Address Details
Address
3812 Booker Ave
City
Durham
State
North Carolina
Zip
27713-1126
Phone Number
919-544-0874
Fax Number
919-544-0874
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
HAL-032-073 (North Carolina)
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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