# MCKEITHEN FAMILY CARE HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164583167
- **Authorized official:** BARBARA MCKEITHEN (ADMINISTRATOR)
- **Authorized official phone:** (910) 245-3567

## Contact information

- **Practice address:** 287 FURR RD, VASS, NC 28394-0163
- **Practice address phone:** (910) 245-3567
- **Mailing address:** PO BOX 163, VASS, NC 28394-0163
- **Mailing address phone:** (910) 245-3567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL063006 | NC | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/30/2007