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Organization

MEBANE'S FAMILY CARE #2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA J. MEBANE (ADMINISTRATOR)
(336) 227-0569
Entity
Organization

Contact information

Practice address
939 LAKESIDE AVE, BURLINGTON, NC 27217-9724
(336) 227-0569
(336) 227-1460
Mailing address
939 LAKESIDE AVE, BURLINGTON, NC 27217-9724
(336) 227-0569
(336) 227-1460

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-026
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801693
NC
Enumeration date
03/28/2007
Last updated
08/22/2020
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