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Organization
BULLOCK FAMILY CARE HOME OF NASHVILLE INC.
Active
Organization
BULLOCK FAMILY CARE HOME OF NASHVILLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVA LYNN LOWE LPN (ADMINISTRATOR/OWNER)
(252) 478-7331
Entity
Organization
Contact information
Practice address
619 S BODDIE ST, NASHVILLE, NC 27856-1229
(252) 459-6601
(252) 459-8014
Mailing address
619 S BODDIE ST, NASHVILLE, NC 27856-1229
(252) 459-6601
(252) 459-8014
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-064-008
NC
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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