Organization
JAMIE R. KIRBY
Active
Other names
East View Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE ROCKETT KIRBY (ADMINISTRATOR/OWNER)
(828) 397-6090
Entity
Organization
Contact information
Practice address
3208 TEX'S FISH CAMP ROAD, CONNELLYS SPRINGS, NC 28612-7633
(828) 397-6090
Mailing address
3208 TEX'S FISH CAMP ROAD, CONNELLYS SPRINGS, NC 28612-7633
(828) 397-6090
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL012033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7806180
MEDICAID PROVIDER NUMBER
NC
Enumeration date
05/04/2007
Last updated
09/01/2009
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