# LILLIAN BROTHERS FAMILY CARE HOME LLC

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

## Provider details

- **NPI number:** 1417229113
- **Authorized official:** MS. BERNADINE SMITH MPA (ADMINISTRATOR)
- **Authorized official phone:** (757) 310-1430

## Contact information

- **Practice address:** 533 WEIGHT STATION RD, HERTFORD, NC 27944-8562
- **Practice address phone:** (252) 264-3185
- **Mailing address:** 533 WEIGHT STATION RD, HERTFORD, NC 27944-8562
- **Mailing address phone:** (252) 264-3185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | FCL-072-009 | NC | — |
| 311ZA0620X | Adult Care Home Facility | FCL-072-009 | NC | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/27/2012