Organization
MCLEAN FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOUSTON MCLEAN (OWNER)
(910) 263-0798
Entity
Organization
Contact information
Practice address
6487 PLEASANT RD, FAYETTEVILLE, NC 28314-0552
(910) 263-0798
Mailing address
P. O. BOX 2608, FAYETTEVILLE, NC 28314-2608
(910) 263-0798
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL026040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803674
—
NC
Enumeration date
02/21/2007
Last updated
08/22/2020
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