Organization
GWEN FAMILY CARE HOME NO2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN HUNTER (ADMINASTRATOR)
(336) 622-1842
Entity
Organization
Contact information
Practice address
236 S ASHEBORO ST, LIBERTY, NC 27298-7503
(336) 622-1842
(336) 622-9845
Mailing address
236 S ASHEBORO ST, LIBERTY, NC 27298-7503
(336) 622-1842
(336) 622-9845
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
FLC001058
NC
Other
Enumeration date
02/23/2007
Last updated
01/03/2008
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