Organization · Type 2 NPI

Jackson Odondi

Adult Care Home Facility · Durham, NC

NPI number 1356484877 Active

Practice location

3812 Booker Ave
Durham, NC 27713-1126

Call (919) 544-0874 Map

Fax (919) 544-0874

Mailing address

PO Box 15927
Durham, NC 27704-0927

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XHAL-032-073 (NC)

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 1356484877

Jackson Odondi's National Provider Identifier is 1356484877, issued on Feb 14, 2007. 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 Jul 2, 2008.