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LISA PETTIFORD
NPI 1679768766
Custodial Care Facility - Adult Care Home in Durham, NC

Active since September 11, 2007
2801 DARROW RD., DURHAM, NC 27704(919) 493-2100(919) 493-2112 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Pettiford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA PETTIFORD (NPI 1679768766) is a healthcare organization registered as an adult care home in Durham, North Carolina and active in the NPI registry since September 2007. The organization lists Lisa Spencer Pettiford, Owner, as its authorized official.

NPPES Registry Identity

NPI1679768766
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLISA PETTIFORD
Location Address2801 DARROW RD.Durham, NC 27704-0335
Mailing AddressPo Box 15535Durham, NC 27704-0535 · (919) 493-2100 · Fax (919) 493-2112
Phone(919) 493-2100
Fax(919) 493-2112
Organization SubpartNo
Authorized OfficialLisa Spencer PettifordOwner · (919) 599-3691
Enumeration DateSeptember 11, 2007
Last NPPES UpdateJuly 10, 2008
✔ NPI 1679768766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · 032-407
Definition

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.

2801 DARROW RD., Durham, NC 27704
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Frequently Asked Questions

What is LISA PETTIFORD's NPI number?

The NPI number assigned to this healthcare provider is 1679768766, enumerated as an "organization" on September 11, 2007.

Where is the provider located?

The provider is located at 2801 DARROW RD. DURHAM, NC 27704 and the phone number is (919) 493-2100.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.