Individual provider · Type 1 NPI

Tisa Rogers

Adult Care Home Facility · Durham, NC

NPI number 1295504017 Active

Practice location

306 Cherry Grove Street
Durham, NC 27703

Call (980) 286-2713 Map

Fax (919) 294-6164

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 1295504017

Tisa Rogers's National Provider Identifier is 1295504017, issued on Dec 20, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Durham, NC. The record was last updated on Dec 20, 2023.