Organization
FAMILY HOME LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH GRAY TANNER (DIRECTOR)
(252) 533-9200
Entity
Organization
Contact information
Practice address
946 W ANDREWS AVE, SUITE X, HENDERSON, NC 27536-2500
(252) 436-0021
(252) 436-0066
Mailing address
PO BOX 66, ROANOKE RAPIDS, NC 27870-0066
(252) 533-9200
(252) 533-9207
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
06/16/2008
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