Organization
BENNETT'S FAMILY CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY BENNETT (EXECUTIVE DIRECTOR)
(336) 456-5349
Entity
Organization
Contact information
Practice address
3225 EDENWOOD DR, GREENSBORO, NC 27406-5219
(336) 456-5349
(336) 379-0999
Mailing address
PO BOX 3325, GREENSBORO, NC 27402-3325
(336) 456-5349
(336) 379-0999
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801820
—
NC
Enumeration date
08/05/2007
Last updated
06/02/2008
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