Organization
ALBERTA'S FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTA SHORT PETTIFORD (ADMINISTRATOR)
(336) 599-5777
Entity
Organization
Contact information
Practice address
710 N MAIN ST, ROXBORO, NC 27573-4754
(336) 599-5777
Mailing address
710 N MAIN ST, ROXBORO, NC 27573-4754
(336) 599-5777
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL073013
NC
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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