Organization
GRAHAM DRIVE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STELLA KAYE FOWLER (OWNER/ADMINISTRATOR)
(336) 228-1525
Entity
Organization
Contact information
Practice address
509 GRAHAM DR, GRAHAM, NC 27253-2119
(336) 228-1525
(336) 228-1523
Mailing address
509 GRAHAM DR, GRAHAM, NC 27253-2119
(336) 228-1525
(336) 228-1523
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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