Organization
PRATHER'S FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY PRATHER (OWNER)
(910) 843-1174
Entity
Organization
Contact information
Practice address
8572 OLD RED SPRINGS RD, RED SPRINGS, NC 28377-9391
(910) 843-1174
Mailing address
8572 OLD RED SPRINGS RD, RED SPRINGS, NC 28377-9391
(910) 843-1174
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
FCH078011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802358
—
NC
Enumeration date
12/20/2007
Last updated
12/20/2007
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