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Organization

PROFESSIONAL FAMILY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA GAIL BEACH (OWNER/ADMINIISTRATOR)
(828) 464-3430
Entity
Organization

Contact information

Practice address
906 3RD ST SE, CONOVER, NC 28613-1813
(828) 464-3430
Mailing address
906 3RD ST SE, CONOVER, NC 28613-1813

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-018-038
NC

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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