Organization
KINGDOM FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEATHA DUNN GLENN (OWNER/ADMINISTRATOR)
(091) 990-2297
Entity
Organization
Contact information
Practice address
11062 HWY 50 NORTH, BENSON, NC 27504
(919) 902-2297
Mailing address
11062 HWY 50 NORTH, BENSON, NC 27504
(919) 902-2297
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
NC
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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