Organization · NPI-2

Affinity Residential, INC.

Custodial Care Facility, Adult Care Home · Raleigh, NC

NPI number1689841769
StatusActive
Last updated in NPPESMar 31, 2009

Details

NPI
1689841769
Entity type
Organization (NPI-2)
Legal business name
Affinity Residential, INC.
Organization subpart
No
Enumeration date
May 8, 2008
Last updated
Mar 31, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Practice location

2908 Basswood Dr
Raleigh, NC 27610-5864

Phone 919-618-3326

Mailing address

2908 Basswood Dr
Raleigh, NC 27610-5864

Phone 919-618-3326

Authorized official

Malessia Godwin
Administrator
9196183326

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