Organization
BJS FAMILY CARE HOME # 2
Active
Organization
BJS FAMILY CARE HOME # 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY COOPER (OWNER)
(704) 434-7256
Entity
Organization
Contact information
Practice address
2129 MCCRAW RD, MOORESBORO, NC 28114-8717
(704) 434-7256
Mailing address
PO BOX 1236, BOILING SPRINGS, NC 28017-1236
(704) 434-7256
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-023-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801072
—
NC
Enumeration date
03/26/2013
Last updated
03/26/2013
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