# PLEASANT HILL UCC FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1396864245
- **Authorized official:** DONALD MCCOY (ADMINSTRATOR)
- **Authorized official phone:** (919) 779-2258

## Contact information

- **Practice address:** 393 CONNER DRIVE, KIPLING, NC 27543
- **Practice address phone:** (919) 567-0929
- **Mailing address:** PO BOX 55, KIPLING, NC 27543-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 970599 | — | NC |