Organization
PINE ACRE FAMILY CARE HOME #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER HAROLD MITCHELL SR. ADMINISTRATOR (ADMINISTRATOR)
(910) 592-1950
Entity
Organization
Contact information
Practice address
156 PINE ACRES LN, CLINTON, NC 28328-7390
(910) 592-1950
(910) 592-8880
Mailing address
156 PINE ACRES LN, CLINTON, NC 28328-7390
(910) 592-1950
(910) 592-8880
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-082-010
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803992
—
NC
Enumeration date
05/21/2007
Last updated
07/03/2008
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