Organization
CARRIE'S FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYCHIA E GAMBLE (ADMINISTRATOR)
(252) 238-6559
Entity
Organization
Contact information
Practice address
1025 POPE FARM RD, STANTONSBURG, NC 27883-8525
(252) 238-6559
Mailing address
PO BOX 873, SNOW HILL, NC 28580-1009
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-040-006
NC
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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