Organization
CHAM-NET FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA LOUISE GRIFFIS (ADMINISTRATOR)
(336) 226-5060
Entity
Organization
Contact information
Practice address
1124 THOMAS ST, BURLINGTON, NC 27215-6965
(336) 227-0703
(336) 229-1081
Mailing address
1010 RICHMOND AVE, BURLINGTON, NC 27217-1525
(336) 226-5060
(336) 229-1081
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803164
—
NC
Enumeration date
02/12/2007
Last updated
08/22/2020
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