Organization
FAMILY AFFAIR CARE GROUP MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE L GIBSON (PRESIDENT)
(336) 274-1269
Entity
Organization
Contact information
Practice address
2302 W MEADOWVIEW RD STE 208, GREENSBORO, NC 27407-3706
(336) 274-1269
(336) 272-2387
Mailing address
2302 W MEADOWVIEW RD STE 208, GREENSBORO, NC 27407-3706
(336) 274-1269
(336) 272-2387
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408898
—
NC
Enumeration date
03/20/2007
Last updated
05/29/2024
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