Organization
SCHENCK FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIE MAE SCHENCK (OWNER)
(704) 735-6565
Entity
Organization
Contact information
Practice address
4823 PAYSOUR POND RD, IRON STATION, NC 28080-0041
(704) 735-6565
Mailing address
PO BOX 41, IRON STATION, NC 28080-0041
(704) 735-6565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL055001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802751
—
NC
Enumeration date
06/16/2008
Last updated
06/16/2008
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