# HUMPHREY FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1275968679
- **Authorized official:** MR. DAVID A HUMPHREY SR. (DIRECTOR)
- **Authorized official phone:** (336) 448-0096

## Contact information

- **Practice address:** 3814 CHERRY GROVE RD, ELON, NC 27244-9485
- **Practice address phone:** (336) 421-3001
- **Practice address fax:** (336) 421-3001
- **Mailing address:** 1156 HORSESHOE TRL, ALTON, VA 24520-3084
- **Mailing address phone:** (973) 868-2690
- **Mailing address fax:** (434) 575-5696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-017-032 | NC | Yes |

## Other

- **Enumeration date:** 09/05/2013
- **Last updated:** 09/26/2014