Organization
ANNIE PARKER LONG
Active
Other names
Carries Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE PARKER LONG (OWNER)
(336) 694-9992
Entity
Organization
Contact information
Practice address
1654 ALLISON RD, YANCEYVILLE, NC 27379-8430
(336) 694-9992
Mailing address
PO BOX 1112, YANCEYVILLE, NC 27379-1112
(336) 694-9992
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-017-019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801378
—
NC
Enumeration date
08/28/2007
Last updated
06/19/2008
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