Provider Demographics
NPI:1689834251
Name:WRENETTE'S PLACE INC.
Entity type:Organization
Organization Name:WRENETTE'S PLACE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEBAYO
Authorized Official - Middle Name:T
Authorized Official - Last Name:OLADOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-412-6024
Mailing Address - Street 1:7029 SAN JUAN HILL CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6329
Mailing Address - Country:US
Mailing Address - Phone:919-779-4456
Mailing Address - Fax:
Practice Address - Street 1:7029 SAN JUAN HILL CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6329
Practice Address - Country:US
Practice Address - Phone:919-779-4456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home