Organization
ANGELS FAMILY CARE I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J GRAVES (ADMINISTRATOR-OWNER)
(336) 570-2990
Entity
Organization
Contact information
Practice address
809 WICKER ST, BURLINGTON, NC 27217-2362
(336) 570-2990
(336) 228-9376
Mailing address
809 WICKER ST, BURLINGTON, NC 27217-2362
(336) 570-2990
(336) 228-9376
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL001064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803572
—
NC
Enumeration date
02/07/2007
Last updated
02/12/2008
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