Organization
LOR-CROWE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIJUANA DELROYA WHITE (OWNER)
(910) 528-7921
Entity
Organization
Contact information
Practice address
814 E SAINT JOHN ST, TARBORO, NC 27886-4544
(910) 491-3069
(910) 504-0155
Mailing address
210 HEATHER RIDGE DR APT J, FAYETTEVILLE, NC 28311-7037
(910) 491-3069
(910) 504-0155
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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