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Organization

RUDD RIDGE FAMILY CARE HOME INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TONYA B. RIBELIN (CO-OWNER / ADMINISTRATOR)
(336) 421-7341
Entity
Organization

Contact information

Practice address
643 RUDD RIDGE RD, YANCEYVILLE, NC 27379-8460
(336) 421-7341
Mailing address
643 RUDD RIDGE RD, YANCEYVILLE, NC 27379-8460

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
FCL-017-039
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804636
NC
Enumeration date
08/18/2006
Last updated
08/22/2020
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