GRANDFATHER HOME - RALEIGH

RALEIGH, NC
NPI1629251293
Entity TypeOrganization
Authorized ContactJIM SWINKOLA
CEO
828-898-5465
Organization Subpart ?No
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2007-12-06
Last Update Date2008-08-08
Business Address
GRANDFATHER HOME - RALEIGH
5000 HOLLY RIDGE FARM RD
RALEIGH, NC 27616-6121
Phone number: 828-898-5465
Mailing Address
GRANDFATHER HOME - RALEIGH
PO BOX 98
BANNER ELK, NC 28604-0098
Phone number: 828-898-5465