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Susan Durham
Adult Care Home Facility in Roxboro, North Carolina
NPI 1437293594

Susan Durham is an Adult Care Home Facility based in Roxboro, NC and is specialized in Adult Care Home. Susan Durham practices in Roxboro, NC. The NPI Number for Susan Durham is 1437293594 and holds a License No. FCL073011 (North Carolina).

The current practice location address for Susan Durham is 410 Montford Dr, Roxboro, NC and can be reached out via phone at 336-597-4270 and via fax at 336-597-4270.

Location: 410 Montford Dr, Roxboro, NC, 27573-4624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437293594
Provider Name
Susan Durham
Credential
Provider Entity Type
Organization
Address
410 Montford Dr, Roxboro, NC, 27573-4624
Phone Number
336-597-4270
Fax Number
336-597-4270
Provider Enumeration Date
02/20/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
7809008 05 NC
institution
Provider Business Practice Location Address Details
Address
410 Montford Dr
City
Roxboro
State
North Carolina
Zip
27573-4624
Phone Number
336-597-4270
Fax Number
336-597-4270
person
Provider Business Mailing Address Details
Address
410 Montford Dr
City
Roxboro
State
North Carolina
Zip
27573-4624
Phone Number
336-597-4270
Fax Number
336-597-4270
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL073011 (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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