Organization
JOSEPH'S FAMILY CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SENETRA WALLACE (CEO)
(919) 467-4219
Entity
Organization
Contact information
Practice address
306 E LENOIR AVE, KINSTON, NC 28501-4425
(919) 467-4219
Mailing address
PO BOX 1444, KINSTON, NC 28503-1444
(919) 467-4219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
FCL-054-063
NC
Other
Enumeration date
05/06/2009
Last updated
08/05/2009
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