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Organization
CRAIN ENTERPRISES, INC
Active
Organization
CRAIN ENTERPRISES, INC
Active
Other names
Crain Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARISSA TAYLOR WALKER (OWNER ADMINISTRATOR)
(704) 674-6364
Entity
Organization
Contact information
Practice address
718 HOKE ST, LINCOLNTON, NC 28092-3032
(704) 674-6364
Mailing address
718 HOKE ST, LINCOLNTON, NC 28092-3032
(704) 674-6364
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-055-009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805160
—
NC
Enumeration date
01/09/2007
Last updated
07/26/2007
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