NPI 1689891814

Lakewheeler Road Family Care Home

Organisation Physical Disabilities Residential Treatment Facility Raleigh, NC

Practice location

Address: 1315 Lake Wheeler Rd, Raleigh, NC 27603-2231
Phone: (919) 833-3763
Fax: (919) 833-3763

Authorised official

Name: Mary B Moslak
Title: Administrator
Phone: (919) 833-3763

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence FCL-092-017 (NC)

Other Residential Treatment Facility, Physical Disabilities providers in North Carolina →

Registry record

NPI: 1689891814
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.