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Marys Major Iii
Mental Illness Community Based Residential Treatment Facility in Raleigh, North Carolina
NPI 1891819389

Marys Major Iii is a Mental Illness Community Based Residential Treatment Facility based in Wendell, NC. Marys Major Iii practices in Raleigh, NC. The NPI Number for Marys Major Iii is 1891819389 and holds a License No. MHL 092 351 (North Carolina).

The current practice location address for Marys Major Iii is 4208 Labrador Drive, Raleigh, NC and can be reached out via phone at 919-261-0572 and via fax at 919-266-7901.

Location: 4208 Labrador Drive, Raleigh, NC, 27591-7901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891819389
Provider Name
Marys Major Iii
Credential
Provider Entity Type
Organization
Address
4208 Labrador Drive, Raleigh, NC, 27591-7901
Phone Number
919-261-0572
Fax Number
919-266-7901
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4208 Labrador Drive
City
Raleigh
State
North Carolina
Zip
27616-9746
Phone Number
919-261-0572
Fax Number
919-266-7901
person
Provider Business Mailing Address Details
Address
4208 Labrador Drive
City
Raleigh
State
North Carolina
Zip
27616-9746
Phone Number
919-261-0572
Fax Number
919-266-7901
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL 092 351 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL 092 351 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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