Organization
MELVIN FAMILY CARE INC.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL MARLENE MELVIN (OWNER)
(910) 875-1180
Entity
Organization
Contact information
Practice address
407 MCCORMICK RD, SHANNON, NC 28378
(910) 875-1180
Mailing address
P.O. BOX 967, RAEFORD, NC 28376
(910) 875-1180
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3418096
NC
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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