OrganizationActive
Bradley Home Caring for Wake Community and Carolinas
NPI 1952512295 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raleigh, NC
Provider details
- NPI number
- 1952512295
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cordelia Akagha, Director(919) 772-9382
- License
- MHL-092-412 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-092-412 (NC)
Residential Treatment Facilities
Practice location
6420 Malibu Dr
Raleigh, NC 27603-4908
Phone: (919) 772-9382
Fax: (919) 772-9382
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2055
Garner, NC 27529-2055
Other names (DBA / former)
- Doing business as
- Kimberly House
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.