Organization
ROBERT JONES
Active
Other names
Jones Family Home 4
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JONES (OWNER)
(336) 694-5010
Entity
Organization
Contact information
Practice address
278 EAST MAIN ST, YANCEYVILLE, NC 27379
(336) 694-5010
Mailing address
203 N MAIN ST, SUITE 315, ROXBORO, NC 27573-5343
(336) 694-5010
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-017-030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803779
—
NC
Enumeration date
05/17/2007
Last updated
08/22/2020
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