Mr. Carl Diedritch Sickerott Jr.
Mr. Carl Diedritch Sickerott Jr. is an Adult Care Home Facility in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2012
Practice location Address checks out
2026 Fairview RdRaleigh, NC 27608-2316
Phone: (919) 946-1758
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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 MHL-092-469 (NC) |
|---|
Record details
| NPI number | 1518214022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2012 |
| Last updated in NPPES | August 24, 2012 |
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