# KINILLIE FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1891235818
- **Authorized official:** KINESHIA HARRIS (ADMINISTRATOR)
- **Authorized official phone:** (252) 955-3719

## Contact information

- **Practice address:** 448 PLEASANT HILL RD, ROCKY MOUNT, NC 27801-8708
- **Practice address phone:** (252) 955-3719
- **Mailing address:** 8017 NC HIGHWAY 33 E, TARBORO, NC 27886-8976
- **Mailing address phone:** (252) 955-3719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-033-015 | NC | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 02/24/2017