Organization
A&N FCH TWO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA JOHNSON SINGLETARY (ADMINISTRATOR)
(910) 648-2152
Entity
Organization
Contact information
Practice address
20356 NC 410 HWY, BLADENBORO, NC 28320-8994
(910) 648-2152
Mailing address
20356 NC 410 HWY, BLADENBORO, NC 28320-8994
(910) 648-2152
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL009011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802670
—
NC
Enumeration date
08/29/2007
Last updated
08/29/2007
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