Organization
THE EAST FAMILY CARE 1&2
Active
Other names
The East Family Care 1&2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERNELLA MAI SHEFFIELD (ADMINISTRATER)
(336) 939-7678
Entity
Organization
Contact information
Practice address
843 WORSHAM MILL RD, 830 WORSHAM MILL RD, RUFFIN, NC 27326-9410
(336) 939-7678
(336) 939-9444
Mailing address
843 WORSHAM MILL RD, 830 WORSHAM MILL RD, RUFFIN, NC 27326-9410
(336) 939-7678
(336) 939-9444
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL 079-002
NC
311ZA0620X
Adult Care Home Facility
FCL-079-003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56138015
—
NC
Enumeration date
11/19/2012
Last updated
11/19/2012
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