Organization
WHITES FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BESSIE LEE WHITE (ADMINISTRATOR)
(252) 752-2460
Entity
Organization
Contact information
Practice address
708 WEST 3RD STREET, GREENVILLE, NC 27834-1928
(252) 752-2460
Mailing address
PO BOX 649, 708 WEST 3RD STREET, GREENVILLE, NC 27834-1928
(252) 752-2460
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
FCL074025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805181
—
NC
Enumeration date
05/21/2008
Last updated
05/21/2008
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