Organization
CARRIE DOUGLAS
Active
Other names
Douglas Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE SIMONS DOUGLAS (ADMINISTRATOR)
(252) 287-0180
Entity
Organization
Contact information
Practice address
1439 US HIGHWAY 13 S, AHOSKIE, NC 27910-8125
(252) 513-8120
(252) 358-5068
Mailing address
1439 US HIGHWAY 13 S, AHOSKIE, NC 27910-8125
(252) 513-8120
(252) 358-5068
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
03/06/2024
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