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Organization
GLADYS POTEAT
Active
Organization
GLADYS POTEAT
Active
Other names
D & H 2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS POTEAT (OWNER)
(336) 234-7155
Entity
Organization
Contact information
Practice address
1354 YARBOROUGHS MILL RD, MILTON, NC 27305-9284
(336) 234-7155
Mailing address
203 N MAIN ST, SUITE 315, ROXBORO, NC 27573-5343
(336) 234-7155
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL017024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802244
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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