# CHERRYS FAMILY CARE \#2

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

## Provider details

- **NPI number:** 1306963079
- **Authorized official:** GLADYS CHERRY (ADMINISTRATOR)
- **Authorized official phone:** (252) 794-2269

## Contact information

- **Practice address:** 743 CHARLES TAYLOR ROAD, AULANDER, NC 27805
- **Practice address phone:** (252) 794-2269
- **Mailing address:** 743 CHARLES TAYLOR ROAD, AULANDER, NC 27805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL008002 | NC | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801845 | — | NC |