Organization
OLD MILL FAMILY CARE
Active
Organization
OLD MILL FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE HUDSON (OWNER)
(252) 937-7958
Entity
Organization
Contact information
Practice address
1808 OLD MILL RD, ROCKY MOUNT, NC 27803-2137
(252) 937-7958
(252) 937-4143
Mailing address
1808 OLD MILL RD, ROCKY MOUNT, NC 27803-2137
(252) 937-4143
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-064-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804051
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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