CARL DIEDRITCH SICKEROTT

RALEIGH, NC
NPI1518214022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: NC  MHL-092-469)
Enumeration Date2012-08-14
Last Update Date2012-08-24
Business Address
Mr. CARL DIEDRITCH SICKEROTT
2026 FAIRVIEW RD
RALEIGH, NC 27608-2316
Phone number: 919-946-1758
Mailing Address
Mr. CARL DIEDRITCH SICKEROTT
2026 FAIRVIEW RD
RALEIGH, NC 27608-2316
Phone number: 919-946-1758
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