Organization
GREEN ACRES FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRISHA GREEN (OWNER)
(910) 337-1311
Entity
Organization
Contact information
Practice address
8465 PINEY WOODS RD, WILLARD, NC 28478-8833
(910) 337-1311
Mailing address
PO BOX 1535, ROSEBORO, NC 28382-1535
(910) 337-1311
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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