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Lisa Pettiford
Adult Care Home Facility in Durham, North Carolina
NPI 1790979193

Lisa Pettiford is an Adult Care Home Facility based in Durham, NC and is specialized in Adult Care Home. Lisa Pettiford practices in Durham, NC. The NPI Number for Lisa Pettiford is 1790979193 and holds a License No. 032-406 (North Carolina).

The current practice location address for Lisa Pettiford is 502 Hugo Street, Durham, NC and can be reached out via phone at 919-599-3691 and via fax at 919-493-2112.

Location: 502 Hugo Street, Durham, NC, 27704-0335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790979193
Provider Name
Lisa Pettiford
Credential
Provider Entity Type
Organization
Address
502 Hugo Street, Durham, NC, 27704-0335
Phone Number
919-599-3691
Fax Number
919-493-2112
Provider Enumeration Date
08/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
502 Hugo Street
City
Durham
State
North Carolina
Zip
27704-0335
Phone Number
919-599-3691
Fax Number
919-493-2112
person
Provider Business Mailing Address Details
Address
502 Hugo Street
City
Durham
State
North Carolina
Zip
27704-0335
Phone Number
919-599-3691
Fax Number
919-493-2112
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
032-406 (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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