Organization
CANADY FAMILY CARE INC
Active
Other names
Canady Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE CANADY (ADMINISTRATOR)
(910) 862-3264
Entity
Organization
Contact information
Practice address
2810 W BROAD ST, ELIZABETHTOWN, NC 28337-9245
(910) 862-3264
Mailing address
P.O. BOX 674, 2810 W. BROAD STREET, ELIZABETHTOWN, NC 28337
(910) 862-3264
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL009002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948347451P
—
NC
Enumeration date
09/18/2007
Last updated
08/27/2008
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