# GRAVES FAMILY CARE HOME 1

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

## Provider details

- **NPI number:** 1386866747
- **Authorized official:** MRS. ROBIN F GRAVES (ADMINISTRATOR)
- **Authorized official phone:** (336) 421-0016

## Contact information

- **Practice address:** 2896 STONEY CREEK SCHOOL RD, REIDSVILLE, NC 27320-0410
- **Practice address phone:** (336) 421-0016
- **Mailing address:** 2872 STONEY CREEK SCHOOL RD, REIDSVILLE, NC 27320-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-017-008 | NC | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7802217 | — | NC |