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Organization

EVANS FOREVER YOUNG FAMILY CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERMA J EVANS (OWNER)
(336) 584-1968
Entity
Organization

Contact information

Practice address
3746 DANIELEY WATER WHEEL RD, BURLINGTON, NC 27217-7925
(336) 584-1968
(336) 584-4500
Mailing address
3746 DANIELEY WATER WHEEL RD, BURLINGTON, NC 27217-7925
(336) 584-1968
(336) 584-4500

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-051
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801641
NC
Enumeration date
02/12/2007
Last updated
08/22/2020
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