# MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE

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

## Provider details

- **NPI number:** 1679693600
- **Authorized official:** JOYCE MCLEOD (OFFICE MANAGER)
- **Authorized official phone:** (910) 867-0215

## Contact information

- **Practice address:** 248 LIVERMORE DR, FAYETTEVILLE, NC 28314-8616
- **Practice address phone:** (910) 867-0215
- **Mailing address:** PO BOX 41135, FAYETTEVILLE, NC 28309-1135
- **Mailing address phone:** (910) 867-0215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-026-008 | NC | Yes |

## Other

- **Enumeration date:** 03/31/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801663 | — | NC |
