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Mr. Charles Howard Sammons SR.
Adult Care Home Facility in Raleigh, North Carolina
NPI 1578763975

Charles Howard Sammons SR. is an Adult Care Home Facility based in Raleigh, NC and is specialized in Adult Care Home. Charles Howard Sammons SR. practices in Raleigh, NC. The NPI Number for Charles Howard Sammons SR. is 1578763975 and holds a License No. MHL-092-470 (North Carolina).

The current practice location address for Charles Howard Sammons SR. is 3129 Tarheel Clubhouse Rd, Raleigh, NC and can be reached out via phone at 919-217-0112.

Location: 3129 Tarheel Clubhouse Rd, Raleigh, NC, 27604-9675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578763975
Provider Name
Charles Howard Sammons SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3129 Tarheel Clubhouse Rd, Raleigh, NC, 27604-9675
Phone Number
919-217-0112
Fax Number
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3129 Tarheel Clubhouse Rd
City
Raleigh
State
North Carolina
Zip
27604-9675
Phone Number
919-217-0112
Fax Number
person
Provider Business Mailing Address Details
Address
3129 Tarheel Clubhouse Rd
City
Raleigh
State
North Carolina
Zip
27604-9675
Phone Number
919-217-0112
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL-092-470 (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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