Organization
HUMPHREY FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A HUMPHREY SR. (DIRECTOR)
(336) 448-0096
Entity
Organization
Contact information
Practice address
3814 CHERRY GROVE RD, ELON, NC 27244-9485
(336) 421-3001
(336) 421-3001
Mailing address
1156 HORSESHOE TRL, ALTON, VA 24520-3084
(973) 868-2690
(434) 575-5696
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-017-032
NC
Other
Enumeration date
09/05/2013
Last updated
09/26/2014
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