Organization
DIALS FAMILY CARE HOME #7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBIE DIAL (OWNER)
(910) 522-7327
Entity
Organization
Contact information
Practice address
1685 CANAL RD., PEMBROKE, NC 28372-9343
(910) 522-7327
(910) 521-1197
Mailing address
PO BOX 4134, PEMBROKE, NC 28372-9343
(910) 522-7327
(910) 521-1197
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
FCL-078-050
NC
311ZA0620X
Adult Care Home Facility
Primary
FCL-078-111
NC
Other
Enumeration date
05/04/2007
Last updated
05/16/2018
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