Organization
BENNETT'S FAMILY CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY BENNETT (EXECUTIVE DIRECTOR)
(336) 456-5349
Entity
Organization
Contact information
Practice address
804 BALES CHAPEL RD, JAMESTOWN, NC 27282-9127
(336) 456-5349
Mailing address
804 BALES CHAPEL RD, JAMESTOWN, NC 27282-9127
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801831
—
NC
Enumeration date
02/01/2008
Last updated
06/02/2008
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