# JAMIE R. KIRBY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East View Family Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235341728
- **Authorized official:** JAMIE ROCKETT KIRBY (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (828) 397-6090

## Contact information

- **Practice address:** 3208 TEX'S FISH CAMP ROAD, CONNELLYS SPRINGS, NC 28612-7633
- **Practice address phone:** (828) 397-6090
- **Mailing address:** 3208 TEX'S FISH CAMP ROAD, CONNELLYS SPRINGS, NC 28612-7633
- **Mailing address phone:** (828) 397-6090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL012033 | NC | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 09/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7806180 | MEDICAID PROVIDER NUMBER | NC |