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Organization

ANNIE L LONG

Active
Other names
Carries Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNIE L LONG (OWNER)
(336) 694-9992
Entity
Organization

Contact information

Practice address
1654 ALLISON RD, YANCEYVILLE, NC 27379-8430
(336) 694-9992
(336) 694-1107
Mailing address
PO BOX 1112, YANCEYVILLE, NC 27379-1112
(336) 694-9992
(336) 694-1107

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL017019
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801378
NC
Enumeration date
03/05/2007
Last updated
08/17/2007
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