Organization
IMPACT FAMILY CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYVILLA R PRISTELL (ADMINISTRATOR)
(919) 708-5565
Entity
Organization
Contact information
Practice address
211 RED HOLLY DR, SANFORD, NC 27330-0389
(919) 708-5565
Mailing address
211 RED HOLLY DR, SANFORD, NC 27330-0389
(919) 708-5565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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