Organization
MERCIFUL HANDS #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GARNETTA ENOCH MOORE (ADMINISTRATOR)
(336) 227-3344
Entity
Organization
Contact information
Practice address
617 DURHAM ST, BURLINGTON, NC 27217-2305
(336) 227-3344
(336) 226-7405
Mailing address
PO BOX 3062, BURLINGTON, NC 27215-0062
(336) 227-3344
(336) 226-7405
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-131
NC
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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