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Organization

WADE'S FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL ALLEN WADE (ADMINISTRATOR)
(336) 280-0512
Entity
Organization

Contact information

Practice address
918 GRACE AVE, BURLINGTON, NC 27217-4008
(336) 229-0430
(336) 229-0430
Mailing address
2015 S MEBANE ST, BURLINGTON, NC 27215-7617
(336) 280-0512
(336) 280-0512

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-130
NC

Other

Enumeration date
04/24/2009
Last updated
04/24/2009
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