Organization
LEAN'S FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE MCCLUNEY (PARTNER)
(704) 477-0382
Entity
Organization
Contact information
Practice address
1020 E STAGECOACH TRL, LAWNDALE, NC 28090-9553
(704) 538-9053
Mailing address
PO BOX 2177, SHELBY, NC 28151-2177
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-023-036
NC
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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