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Organization
DAPHNE'S FAMILY CARE HOME
Active
Organization
DAPHNE'S FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE G WILLIAMSON (ADMINISTRATOR)
(336) 342-4040
Entity
Organization
Contact information
Practice address
1802 AMOS ST, REIDSVILLE, NC 27320-6204
(336) 342-4040
(336) 342-4999
Mailing address
PO BOX 1027, REIDSVILLE, NC 27323-1027
(336) 342-4040
(336) 342-4999
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
FCL-079-024
NC
311ZA0620X
Adult Care Home Facility
FCL-079-025
NC
311ZA0620X
Adult Care Home Facility
FCL-079-029
NC
311ZA0620X
Adult Care Home Facility
FCL-079-038
NC
311ZA0620X
Adult Care Home Facility
Primary
FCL-079-047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801517
—
NC
05
—
7803345
—
NC
05
—
7803346
—
NC
05
—
7803358
—
NC
05
—
7804199
—
NC
Enumeration date
04/24/2007
Last updated
08/22/2020
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