Organization
CAROLINA FAMILY CARE HOME LLC
Active
Organization
CAROLINA FAMILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY LYNN JOLLY (ADMINISTRATOR/OWNER)
(828) 584-8159
Entity
Organization
Contact information
Practice address
5820 HOLLAND ST, MORGANTON, NC 28655-7931
(828) 584-8159
Mailing address
5820 HOLLAND ST, MORGANTON, NC 28655-7931
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-012-030
NC
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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