Organization
ADAMS FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MOYER ADAMS (OWNER ADMINISTRATOR)
(336) 627-1100
Entity
Organization
Contact information
Practice address
430 GREENWOOD ST, EDEN, NC 27288-5644
(336) 627-1100
Mailing address
PO BOX 1157, FIELDALE, VA 24089-1157
(276) 957-5732
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
FCL-079-018
NC
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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