| Organization Name: | KIRBY FALLS COMMUNITY DEVELOPMENT |
| NPI Number: | 1740486505 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE KIRBY (OWNER) |
| Mailing Address: | 7001 Corfu Pl Wendell |
| State: | NC US |
| Postal Code: | 275916720 |
| Phone Number: | 9193669181 |
| Fax Number: | 9193661090 |
| NPI Enumeration Date: | 06/26/2007 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311ZA0620X |
| License Number: | MHL-092552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Custodial Care Facility |
| Taxonomy Specialization: | Adult Care Home |
| Taxonomy 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. |