Organization
FAMILY ALTERNATIVES, INC.
Active
Other names
FAMILY ALTERNATIVES, INC. GROUP HOME # 2
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERN S OXENDINE MSW (EXECUTIVE DIRECTOR)
(910) 739-6624
Entity
Organization
Contact information
Practice address
104 E GERTRUDE ST, FAIRMONT, NC 28340-1802
(910) 628-7576
Mailing address
PO BOX 963, 103 NORTH ELM STREET, LUMBERTON, NC 28359-0963
(910) 739-6624
(910) 739-6781
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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