# COMMUNITY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124493945
- **Authorized official:** MRS. HAZEL J SPRUILL (OWENER)
- **Authorized official phone:** (336) 350-2690

## Contact information

- **Practice address:** 1104 S CHURCH ST, BURLINGTON, NC 27215-5048
- **Practice address phone:** (336) 350-8295
- **Mailing address:** 1104 S CHURCH ST, BURLINGTON, NC 27215-5048
- **Mailing address phone:** (336) 350-8295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-001-162 | NC | Yes |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 12/04/2015