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Disclaimer: Plans of Correction PDFs may not be accessible. To preserve the original record, documents are provided as scanned images. If you require an accessible version or assistance, please contact the Mental Health Licensure Section at (919) 855-3795 or by mail at 2718 Mail Service Center, Raleigh, NC 27699-2718.

Facility

Fayetteville Street Community Living Home #4

Facility Address

115 Boyd Street
Eden
27288
Rockingham County



Mailing Address


Durham
NC
27707

                  

Contact Information

In Care of: Robin A Williams
Phone:     (919)519-0016

Program codeServicesAgeFacility TypeDisability Category
27G.5600C Supervised Living for Adults with Developmental Disabilities A RESIDENTL IID
Inspection TypeDocument TypeInspection DatePages
MHLCS Annual Statement of Deficiency 4/16/2024 1
MHLCS Complaint Statement of Deficiency 6/22/2023 1
MHLCS Annual and Follow-up Statement of Deficiency 10/24/2022 1
MHLCS Annual Plan of Correction 11/26/2019 3
MHLCS Annual Statement of Deficiency 11/26/2019 2
MHLCS Annual Statement of Deficiency 12/19/2018 1
MHLCS Complaint Statement of Deficiency 5/10/2018 1