Organization
ALSTON FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SELMA A. DAVIS (RN/CO-AMINISTRATOR)
(252) 438-7654
Entity
Organization
Contact information
Practice address
476 LEONARD RD, LOUISBURG, NC 27549-8409
(919) 853-6715
Mailing address
476 LEONARD RD, LOUISBURG, NC 27549-8409
(919) 853-6715
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
FCL-035-008
NC
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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