Organization
EASTWAY FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY L MEBANE (ADMINISTRATOR-OWNER)
(336) 213-3839
Entity
Organization
Contact information
Practice address
108 EASTWAY LN, GRAHAM, NC 27253-3704
(336) 436-0219
(336) 270-3925
Mailing address
108 EASTWAY LN, GRAHAM, NC 27253-3704
(336) 436-0219
(336) 270-3925
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-151
NC
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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