Organization
GREEN ACRES FAMILY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRISHA GREEN (OWNER)
(910) 337-1611
Entity
Organization
Contact information
Practice address
6608 HIGHWAY 210 EAST, HARRELLS, NC 28444-0000
(910) 337-1611
Mailing address
PO BOX 1535, ROSEBORO, NC 28382-1535
(910) 337-1611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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