Provider Demographics
NPI:1992263644
Name:PADROY INC
Entity type:Organization
Organization Name:PADROY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLA
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:OYEGUNWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-757-9694
Mailing Address - Street 1:6116 PADUCAH DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1166
Mailing Address - Country:US
Mailing Address - Phone:919-757-9694
Mailing Address - Fax:
Practice Address - Street 1:2917 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3124
Practice Address - Country:US
Practice Address - Phone:919-301-8525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness