Organization
PERSONAL TOUCH FAMILY CARE HOME #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA L CHAVIS (ADMINISTRATOR)
(910) 422-9998
Entity
Organization
Contact information
Practice address
2610 HWY 130 WEST, ROWLAND, NC 28383-0002
(910) 422-0121
(910) 422-3610
Mailing address
2610 HWY 130 WEST, ROWLAND, NC 28383-6902
(910) 422-0121
(910) 422-3610
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL078019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802958
—
NC
05
—
7802963
—
NC
Enumeration date
06/15/2009
Last updated
06/15/2009
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