Organization
EMMANUEL OUTREACH MINISTRIES, INC
Active
Other names
Emmanuel Outreach Capital Inn-Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILDA B MOORE (ADMINISTRATOR)
(910) 574-9983
Entity
Organization
Contact information
Practice address
4761 DRAUGHON RD, FAYETTEVILLE, NC 28312-8480
(910) 484-1701
(910) 484-1701
Mailing address
4761 DRAUGHON RD, FAYETTEVILLE, NC 28312-8480
(910) 484-1701
(910) 484-1701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-026-060
NC
311Z00000X
Custodial Care Facility
FCL-026-060
NC
311ZA0620X
Adult Care Home Facility
FCL-026-060
NC
347C00000X
Private Vehicle
FCL-026--060
NC
347E00000X
Transportation Broker
FCL-026-060
NC
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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