# PENDRY FAMILY CARE LL

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

## Provider details

- **NPI number:** 1497926653
- **Authorized official:** MR. RICHARD C PENDRY (ADMINISTRATOR)
- **Authorized official phone:** (336) 838-5593

## Contact information

- **Practice address:** 1445 COUNTRY CLUB RD, WILKESBORO, NC 28697-8021
- **Practice address phone:** (336) 838-5593
- **Mailing address:** 1445 COUNTRY CLUB ROAD, WILKESBORO, NC 28697-8021
- **Mailing address phone:** (336) 838-5593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | FCL-097-011 | NC | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008
