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Organization
GEORGANN Y. MATHIS
Active
Organization
GEORGANN Y. MATHIS
Active
Other names
White Oak Family Care Home II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGANN YEAGER MATHIS (ADMINISTRATOR)
(828) 688-2965
Entity
Organization
Contact information
Practice address
47 PINEY HAVEN DR, BAKERSVILLE, NC 28705-8140
(828) 688-1570
(828) 688-2965
Mailing address
47 PINEY HAVEN DR, BAKERSVILLE, NC 28705-8140
(828) 688-1570
(828) 688-2965
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL 061010
NC
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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