Organization
PLEASANT HILL UCC FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MCCOY (ADMINSTRATOR)
(919) 779-2258
Entity
Organization
Contact information
Practice address
393 CONNER DRIVE, KIPLING, NC 27543
(919) 567-0929
Mailing address
PO BOX 55, KIPLING, NC 27543-0055
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
970599
—
NC
Enumeration date
03/29/2007
Last updated
08/16/2011
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