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Organization
GRAVES FAMILY CARE HOME 1
Active
Organization
GRAVES FAMILY CARE HOME 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN F GRAVES (ADMINISTRATOR)
(336) 421-0016
Entity
Organization
Contact information
Practice address
2896 STONEY CREEK SCHOOL RD, REIDSVILLE, NC 27320-0410
(336) 421-0016
Mailing address
2872 STONEY CREEK SCHOOL RD, REIDSVILLE, NC 27320-0410
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-017-008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802217
—
NC
Enumeration date
05/03/2007
Last updated
08/22/2020
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