Individual provider · Type 1 NPI

Charlie Daniels

Adult Care Home Facility · Roxboro, NC

NPI number 1053221135 Active

Practice location

724 Burton St
Roxboro, NC 27573-5657

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: 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 environment.

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About NPI 1053221135

Charlie Daniels's National Provider Identifier is 1053221135, issued on Sep 10, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Roxboro, NC. The record was last updated on Sep 10, 2026.