# DOMINION ADULT CARE LLC

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

## Provider details

- **NPI number:** 1285903575
- **Authorized official:** CYNTHIA MCDANIEL (ADMINISTRATOR)
- **Authorized official phone:** (252) 227-3269

## Contact information

- **Practice address:** 207 LEE ST, GREENVILLE, NC 27858-8654
- **Practice address phone:** (252) 756-5235
- **Practice address fax:** (252) 215-9160
- **Mailing address:** PO BOX 2838, GREENVILLE, NC 27836-0838
- **Mailing address phone:** (252) 756-5235
- **Mailing address fax:** (252) 215-9160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2011
- **Last updated:** 12/15/2011