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Organization
JOHNETTE PERSONAL FAMILY CARE HOME
Active
Organization
JOHNETTE PERSONAL FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNETTE TINEO (ADMINISTRATOR)
(984) 480-6535
Entity
Organization
Contact information
Practice address
1924 BEVERLY RD, ROCKY MOUNT, NC 27801-6313
(252) 231-1276
(252) 231-1276
Mailing address
7800 FALLS OF NEUSE RD, PO BOX 97576, RALEIGH, NC 27615
(984) 480-6535
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
310400000X
Assisted Living Facility
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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