Organization
REST ASSURE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA MECHELLE ELLERBEE OWNER (ADMINISTRATOR)
(910) 844-6304
Entity
Organization
Contact information
Practice address
405 WEST MARTIN LUTHER KING DRIVE, MAXTON, NC 28364-1866
(910) 844-3126
Mailing address
606 CORRELL ST, MAXTON, NC 28364-2616
(910) 844-6304
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-078-069
NC
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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