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Organization

CRAIN ENTERPRISES, INC

Active
Other names
Crain Family Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CLARISSA TAYLOR WALKER (OWNER ADMINISTRATOR)
(704) 674-6364
Entity
Organization

Contact information

Practice address
718 HOKE ST, LINCOLNTON, NC 28092-3032
(704) 674-6364
Mailing address
718 HOKE ST, LINCOLNTON, NC 28092-3032
(704) 674-6364

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-055-009
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7805160
NC
Enumeration date
01/09/2007
Last updated
07/26/2007
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