Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supportive Spaces Adult Care LLC

Organization Assisted Living Facility (Mental Illness) · NPI 1275371015

Supportive Spaces Adult Care LLC is an Assisted Living Facility (Mental Illness) in Zebulon, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

116 Morgan Dr
Zebulon, NC 27597-5959
Phone: (919) 671-1989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
Adult Care Home Facility Taxonomy 311ZA0620X

Record details

NPI number1275371015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deshon Wise — Director · (919) 671-1989
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address1513 Parks Village Rd, Zebulon, NC 27597-9580

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