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Organization
LILLIAN BROTHERS FAMILY CARE HOME LLC
Active
Organization
LILLIAN BROTHERS FAMILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNADINE SMITH MPA (ADMINISTRATOR)
(757) 310-1430
Entity
Organization
Contact information
Practice address
533 WEIGHT STATION RD, HERTFORD, NC 27944-8562
(252) 264-3185
Mailing address
533 WEIGHT STATION RD, HERTFORD, NC 27944-8562
(252) 264-3185
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
FCL-072-009
NC
311ZA0620X
Adult Care Home Facility
Primary
FCL-072-009
NC
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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