Organization
BAKERS FAMILY CARE HOME #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLIE MAE BAKER (ADMINISTRATOR)
(919) 269-5852
Entity
Organization
Contact information
Practice address
7112 OUTRIGGER DR, WENDELL, NC 27591-7240
(919) 812-4393
Mailing address
7112 OUTRIGGER DR, WENDELL, NC 27591-7240
(919) 812-4393
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-173
NC
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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