Lisa Pettiford is a Adult Care Home in Durham, North Carolina. Lisa Pettiford practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Lisa Pettiford is 1679768766. The last update date is 2008-07-10.
Lisa Pettiford's current location address is Po Box 15535, Durham, North Carolina. You can contact this provider via phone number 9194932100 and fax number 9194932112. The mailing address for Lisa Pettiford is Po Box 15535, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisa Pettiford |
|---|---|
| Address | Po Box 15535, Durham, North Carolina |
| Phone Number | 9194932100 |
| Fax Number | 9194932112 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pettiford Spencer Lisa |
| Telephone Number | 9195993691 |
NPI Number Detail
| NPI Number | 1679768766 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | Po Box 15535 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277040535 |
| Phone Number | 9194932100 |
| Fax Number | 9194932112 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 032-407 |
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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 en |
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What is the unique provider identifier assigned to Lisa Pettiford?
The Lisa Pettiford has been issued the NPI (National Provider Identifier) 1679768766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lisa Pettiford's facilities are situated?
The facilities of Lisa Pettiford are physically located at the following address: Po Box 15535, Durham, NC, 277040535.
What is the Lisa Pettiford's area of specialization and corresponding taxonomy classification?
The Lisa Pettiford's specialty field is Adult Care Home, and it falls under the taxonomy code 311Za0620X, which categorizes healthcare providers based on their specialties.
On what date did Lisa Pettiford receive its 1679768766 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Pettiford was assigned its 1679768766 on 2007-09-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lisa Pettiford last refreshed?
The information related to the Lisa Pettiford, including its address, specialty, and other relevant details, was last updated on 2008-07-10.
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