Organization
BRUTONVILLE CONCERNED CITIZENS, INC.
Active
Other names
Anthony G. Copeland Adult Day Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAVONNE MOORE (TREASURER)
(910) 220-5520
Entity
Organization
Contact information
Practice address
112 BRUTONVILLE SCHOOL ROAD, CANDOR, NC 27229-2722
(910) 974-9233
(910) 974-9233
Mailing address
398 ETTA DR, CANDOR, NC 27229-9639
(910) 220-5520
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1226
NORTH CAROLINA
—
Enumeration date
05/09/2019
Last updated
05/09/2019
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