Organization
FAITH FAMILY CARE
Active
Other names
Bobby Jean Graves
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY JEAN GRAVES OWNER (ADMINISTRATOR)
(336) 227-7953
Entity
Organization
Contact information
Practice address
603 CRESTVIEW DR, BURLINGTON, NC 27217-1710
(336) 227-9992
Mailing address
603 CRESTVIEW DR, BURLINGTON, NC 27217-1710
(336) 227-9992
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
FCL001061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803113
—
NC
Enumeration date
02/09/2007
Last updated
08/22/2020
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