# SAVANNAH FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1629137484
- **Authorized official:** SHARRONDA MELVIN SAVANNAH (ADMINISTRATOR OWNER)
- **Authorized official phone:** (910) 695-3665

## Contact information

- **Practice address:** 128 N CARLISLE ST, SOUTHERN PINES, NC 28387-3938
- **Practice address phone:** (910) 695-3665
- **Practice address fax:** (910) 695-3665
- **Mailing address:** 128 N CARLISLE ST, SOUTHERN PINES, NC 28387-3938
- **Mailing address phone:** (910) 695-3665
- **Mailing address fax:** (910) 695-3665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 063009 | NC | Yes |

## Other

- **Enumeration date:** 12/07/2006
- **Last updated:** 08/22/2020