# WADIN CREEK FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1548421506
- **Authorized official:** MRS. MILDRED KATHRYN HARRIS (ADMINISTRATOR)
- **Authorized official phone:** (252) 728-6525

## Contact information

- **Practice address:** 819 HWY 101, BEAUFORT, NC 28516-7718
- **Practice address phone:** (252) 728-6525
- **Practice address fax:** (252) 728-2801
- **Mailing address:** 819 HWY 101, BEAUFORT, NC 28516-7718
- **Mailing address phone:** (252) 728-6525
- **Mailing address fax:** (252) 728-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL016-005 | NC | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 78011816 | — | NC |