Organization
BAINBRIDGE FAMILY CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GILLIAN M AKABI-DAVIS (VP/SECRETARY)
(919) 661-0289
Entity
Organization
Contact information
Practice address
202 BAINBRIDGE CIRCLE, GARNER, NC 27529
(919) 661-0289
(919) 662-7683
Mailing address
202 BAINBRIDGE CIRCLE, GARNER, NC 27529
(919) 661-0289
(919) 662-7683
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7803251
PROVIDER NUMBER
NC
Enumeration date
08/08/2006
Last updated
08/22/2020
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