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Organization

MERCIFUL HANDS FAMILY CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GARNETTA E MOORE (ADMINISTRATOR)
(336) 226-8237
Entity
Organization

Contact information

Practice address
1313 ELDORADO ST, BURLINGTON, NC 27217-8966
(336) 226-8237
(336) 226-7405
Mailing address
1313 ELDORADO ST, BURLINGTON, NC 27217-8966
(336) 226-8237
(336) 226-7405

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-114
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7805606
NC
Enumeration date
03/26/2007
Last updated
06/24/2008
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