# DIAL'S FAMILY CARE HOME \#9

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

## Provider details

- **NPI number:** 1376755215
- **Authorized official:** MR. BOBBIE DIAL (OWNER)
- **Authorized official phone:** (910) 522-7327

## Contact information

- **Practice address:** 1685 CANAL RD, PEMBROKE, NC 28372-9343
- **Practice address phone:** (910) 522-7327
- **Practice address fax:** (910) 521-1197
- **Mailing address:** PO BOX 4134, PEMBROKE, NC 28372-9343
- **Mailing address phone:** (910) 522-7327
- **Mailing address fax:** (910) 521-1197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | FCL-078-026 | NC | — |
| 311ZA0620X | Adult Care Home Facility | FCL-078-112 | NC | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 05/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1376755215 | — | NC |