# HUMPHREY FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1457656100
- **Authorized official:** MR. DAVID A. HUMPHREY (OWNER)
- **Authorized official phone:** (434) 575-5696

## Contact information

- **Practice address:** 6245 BURTON CHAPEL RD, MEBANE, NC 27302-7364
- **Practice address phone:** (336) 421-9560
- **Practice address fax:** (336) 421-3935
- **Mailing address:** 1156 HORSESHOE TRL, ALTON, VA 24520-3084
- **Mailing address phone:** (434) 575-5696
- **Mailing address fax:** (434) 575-5696

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 10/02/2013