# ANGELS FAMILY CARE I

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639219058
- **Authorized official:** MR. MICHAEL J GRAVES (ADMINISTRATOR-OWNER)
- **Authorized official phone:** (336) 570-2990

## Contact information

- **Practice address:** 809 WICKER ST, BURLINGTON, NC 27217-2362
- **Practice address phone:** (336) 570-2990
- **Practice address fax:** (336) 228-9376
- **Mailing address:** 809 WICKER ST, BURLINGTON, NC 27217-2362
- **Mailing address phone:** (336) 570-2990
- **Mailing address fax:** (336) 228-9376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL001064 | NC | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 02/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7803572 | — | NC |