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Organization

LEAK'S FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRINFORD LEAK (OWNER)
(919) 774-6662
Entity
Organization

Contact information

Practice address
316 W GLOBE ST, SANFORD, NC 27330-5706
(919) 774-8149
Mailing address
811 HILLWOOD ST, SANFORD, NC 27330-5530
(919) 774-6662
(919) 774-1496

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
053019
NC

Other

Enumeration date
03/20/2007
Last updated
12/27/2007
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