Organization
PASSIONATE CARE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAE ALTMAN (DIRECTOR OF OPERATIONS)
(919) 934-2425
Entity
Organization
Contact information
Practice address
3181 US HIGHWAY 70 W, SMITHFIELD, NC 27577-7618
(919) 934-2425
Mailing address
3181 US HIGHWAY 70 W, SMITHFIELD, NC 27577-7618
(919) 934-2425
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
06/16/2010
Last updated
06/20/2013
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