Organization
BURKLO HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA KAY BURKLO BSN (CEO, OWNER)
(910) 325-6043
Entity
Organization
Contact information
Practice address
416 FOXTRACE LN, HUBERT, NC 28539-4484
(910) 325-6043
(910) 401-1777
Mailing address
416 FOXTRACE LN, HUBERT, NC 28539-4484
(910) 325-6043
(910) 401-1777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9999999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408253
—
NC
05
—
8300869
—
NC
05
—
8300869B
—
NC
Enumeration date
06/26/2007
Last updated
08/22/2020
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