# OPEN DOOR FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1710384615
- **Authorized official:** CYNTHIA MARSHALL (ADMINISTRATOR)
- **Authorized official phone:** (910) 354-7743

## Contact information

- **Practice address:** 4850 OLD SAVANNAH CHURCH RD, FAYETTEVILLE, NC 28301
- **Practice address phone:** (910) 354-7743
- **Mailing address:** 6853 FERNCREEK PL, FAYETTEVILLE, NC 28314-5322
- **Mailing address phone:** (910) 354-7743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2014
- **Last updated:** 11/21/2014