Organization
CHERRY'S FAMILY CARE HOME #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT D CHERRY (OWNER)
(252) 794-2269
Entity
Organization
Contact information
Practice address
743 CHARLES TAYLOR RD, AULANDER, NC 27805-9690
(252) 794-2269
(252) 345-1338
Mailing address
743 CHARLES TAYLOR RD, AULANDER, NC 27805-9690
(252) 794-2269
(252) 345-1338
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
FCL008023
NC
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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