Organization
SHADE TREE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J RAMSEY RN (ADMINISTRATOR)
(252) 432-1025
Entity
Organization
Contact information
Practice address
114 WARD AVE, OXFORD, NC 27565-3150
(252) 432-1025
Mailing address
114 WARD AVE, OXFORD, NC 27565-3150
(252) 432-1025
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-039-015
NC
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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