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Organization
MY SAVIOR FAMILY CARE HOME, INC.
Active
Organization
MY SAVIOR FAMILY CARE HOME, INC.
Active
Other names
People of Purpose
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY BARNES BOONE (OWNER)
(252) 347-4451
Entity
Organization
Contact information
Practice address
3200 BRIARCLIFF DR, GREENVILLE, NC 27834-4948
(252) 347-4451
(252) 321-4829
Mailing address
PO BOX 20702, GREENVILLE, NC 27858-0702
(252) 347-4451
(252) 321-4829
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL074154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604098
—
NC
Enumeration date
10/19/2007
Last updated
10/19/2007
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