Organization
CHERRYS FAMILY CARE #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS CHERRY (ADMINISTRATOR)
(252) 794-2269
Entity
Organization
Contact information
Practice address
743 CHARLES TAYLOR ROAD, AULANDER, NC 27805
(252) 794-2269
Mailing address
743 CHARLES TAYLOR ROAD, AULANDER, NC 27805
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL008002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801845
—
NC
Enumeration date
03/26/2007
Last updated
08/22/2020
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