Organization
DOUBLE S & H FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ADAMS HALL (ADMINISTRATOR)
(336) 694-9600
Entity
Organization
Contact information
Practice address
158 EAST MAIN STREET, YANCEYVILLE, NC 27379-0955
(336) 694-9600
Mailing address
PO BOX 955, YANCEYVILLE, NC 27379-0955
(336) 694-9600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL017007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801540
—
NC
Enumeration date
03/19/2007
Last updated
08/22/2020
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