# SHADE TREE FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1245615913
- **Authorized official:** DEBORAH J RAMSEY RN (ADMINISTRATOR)
- **Authorized official phone:** (252) 432-1025

## Contact information

- **Practice address:** 114 WARD AVE, OXFORD, NC 27565-3150
- **Practice address phone:** (252) 432-1025
- **Mailing address:** 114 WARD AVE, OXFORD, NC 27565-3150
- **Mailing address phone:** (252) 432-1025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-039-015 | NC | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 07/23/2015
