# DIAL'S FAMILY CARE HOME \#3

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIAL'S FAMILY CARE HOME INCORPORATED
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982935839
- **Legal business name:** DIAL'S FAMILY CARE HOME INCORPORATED
- **Authorized official:** MARLITA MOUJAHED (ADMINISTRATOR)
- **Authorized official phone:** (910) 318-9667

## Contact information

- **Practice address:** 1685 CANAL RD, PEMBROKE, NC 28372-9343
- **Practice address phone:** (910) 318-9667
- **Practice address fax:** (910) 522-7327
- **Mailing address:** 1685 CANAL RD, PEMBROKE, NC 28372-9343
- **Mailing address phone:** (910) 318-9667
- **Mailing address fax:** (910) 522-7327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-078-076 | NC | Yes |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 01/15/2010