Organization
WATLINGTON FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMULUS THURMAN WATLINGTON QP (OWNER)
(336) 254-9662
Entity
Organization
Contact information
Practice address
1401 SHERROD WATLINGTON CIR, GREENSBORO, NC 27406-9463
(336) 254-9662
(336) 292-3465
Mailing address
1401 SHERROD WATLINGTON CIR, GREENSBORO, NC 27406-9463
(336) 254-9662
(336) 292-3090
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-041-775
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801734
—
NC
05
—
7802911
—
NC
05
—
7805686
—
NC
Enumeration date
02/07/2007
Last updated
12/03/2007
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