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Organization

BAKER'S FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WILLIE MAE BAKER (OWNER)
(919) 269-5852
Entity
Organization

Contact information

Practice address
215 RIVERSIDE DR, ZEBULON, NC 27597-8846
(919) 269-5852
Mailing address
215 RIVERSIDE DR, ZEBULON, NC 27597-8846
(919) 269-5852

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7802092
NC
Enumeration date
09/14/2007
Last updated
09/14/2007
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