Jackson Odondi
Jackson Odondi is an Adult Care Home Facility in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
3812 Booker AveDurham, NC 27713-1126
Phone: (919) 544-0874
Fax: (919) 544-0874
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence HAL-032-073 (NC) |
|---|
Record details
| NPI number | 1356484877 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackson Odondi — Administrator · (919) 949-3585 |
| Other names | Eden Spring Living Center |
| NPI enumerated | February 14, 2007 |
| Last updated in NPPES | July 2, 2008 |
| Mailing address | Po Box 15927, Durham, NC 27704-0927 |
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