Organization
LEAK'S FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRINFORD LEAK SR. (OWNER)
(919) 774-6662
Entity
Organization
Contact information
Practice address
548 COX MADDOX RD, SANFORD, NC 27332-8019
(919) 258-3138
Mailing address
811 HILLWOOD ST, SANFORD, NC 27330-5530
(919) 774-6662
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
06/10/2008
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