Organization
GEORGANN Y. MATHIS
Active
Other names
White Oak Family Care Home II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGANN YEAGER MATHIS (ADMINISTRATOR)
(828) 688-2965
Entity
Organization
Contact information
Practice address
47 PINEY HAVEN DR, BAKERSVILLE, NC 28705-8140
(828) 688-1570
(828) 688-2965
Mailing address
47 PINEY HAVEN DR, BAKERSVILLE, NC 28705-8140
(828) 688-1570
(828) 688-2965
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL 061010
NC
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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