Organization
DOMINION ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MCDANIEL (ADMINISTRATOR)
(252) 227-3269
Entity
Organization
Contact information
Practice address
207 LEE ST, GREENVILLE, NC 27858-8654
(252) 756-5235
(252) 215-9160
Mailing address
PO BOX 2838, GREENVILLE, NC 27836-0838
(252) 756-5235
(252) 215-9160
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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