Organization
LOWE FAMILY CARE HOME #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATTIE LOWE (OWNER)
(910) 791-7067
Entity
Organization
Contact information
Practice address
136 MCQUILLAN DR, WILMINGTON, NC 28412-3110
(910) 791-7067
Mailing address
136 MCQUILLAN DR, WILMINGTON, NC 28412-3110
(910) 791-7067
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
FCH065011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802451
—
NC
Enumeration date
12/20/2007
Last updated
12/20/2007
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