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Organization

MARION E. WALL

Active
Other names
Cape Fear Adult Day Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARION ELIZABETH WALL (DIRECTOR/OWNER)
(910) 323-4424
Entity
Organization

Contact information

Practice address
920 STAMPER RD, FAYETTEVILLE, NC 28303-4138
(910) 323-4424
(910) 323-3622
Mailing address
920 STAMPER RD, FAYETTEVILLE, NC 28303-4138
(910) 323-4424
(910) 323-3622

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408729
NC
Enumeration date
10/29/2007
Last updated
06/24/2008
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