Organization
PENDRY FAMILY CARE LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C PENDRY (ADMINISTRATOR)
(336) 838-5593
Entity
Organization
Contact information
Practice address
1445 COUNTRY CLUB RD, WILKESBORO, NC 28697-8021
(336) 838-5593
Mailing address
1445 COUNTRY CLUB ROAD, WILKESBORO, NC 28697-8021
(336) 838-5593
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
FCL-097-011
NC
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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