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Organization

BARNES FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SIMON BARNES JR. (ADMINISTRATOR)
(252) 237-1832
Entity
Organization

Contact information

Practice address
1008 CORBETT AVE NE, WILSON, NC 27893-1912
(252) 237-1832
(252) 237-1413
Mailing address
1008 CORBETT AVE NE, WILSON, NC 27893-1912
(252) 237-1832
(252) 237-1413

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801376
NC
05
7804535
NC
Enumeration date
01/31/2007
Last updated
08/22/2020
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