OrganizationActive
A Good Life Family Care Home
NPI 1124262050 · Assisted Living Facility · Raleigh, NC
Provider details
- NPI number
- 1124262050
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Diane Ballentine, Owner/Administrator(919) 834-3966
- License
- FCL-092-106 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4013 Tryon Rd
Raleigh, NC 27606-4209
Phone: (919) 834-3966
Fax: (919) 834-3966
Approximate (ZIP-level) locationGet directions
Mailing address
4013 Tryon Rd
Raleigh, NC 27606-4209
Registry dates
- Enumerated
- 2009-04-22
- Last updated
- 2009-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.