Organization
HERITAGE CREEK FAMILY CARE ESTATE
Active
Organization
HERITAGE CREEK FAMILY CARE ESTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M NEWSOME (DIRECTOR OF MEDICAID BILLING)
(252) 525-1082
Entity
Organization
Contact information
Practice address
1662 SMALL TOWN RD, PINK HILL, NC 28572-9625
(252) 568-2655
(252) 568-2658
Mailing address
1662 SMALL TOWN RD, PINK HILL, NC 28572-9625
(252) 568-2655
(252) 568-2658
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-052-005
NC
Other
Enumeration date
08/31/2006
Last updated
06/25/2011
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