Organization
TERRY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAWANDA JEFFERSON RAY (OWNER)
(336) 421-0435
Entity
Organization
Contact information
Practice address
2446 CHERRY GROVE RD, YANCEYVILLE, NC 27379-8385
(336) 421-3146
(336) 421-5871
Mailing address
56 STALEY BOSWELL RD, YANCEYVILLE, NC 27379-8385
(336) 421-0435
(336) 421-5871
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL017009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803138
—
NC
Enumeration date
03/27/2007
Last updated
06/24/2008
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