# CARRIE'S FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1356580088
- **Authorized official:** LEYCHIA E GAMBLE (ADMINISTRATOR)
- **Authorized official phone:** (252) 238-6559

## Contact information

- **Practice address:** 1025 POPE FARM RD, STANTONSBURG, NC 27883-8525
- **Practice address phone:** (252) 238-6559
- **Mailing address:** PO BOX 873, SNOW HILL, NC 28580-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-040-006 | NC | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009