Organization
EASTLAND HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELSIE MURPHY BLACKWELL (ADMINISTRATOR)
(910) 862-2696
Entity
Organization
Contact information
Practice address
2137 SPRING BRANCH RD., TAR HEEL, NC 28392
(910) 862-2696
(910) 862-2696
Mailing address
2137 SPRING BRANCH RD, PO BOX 152, TAR HEEL, NC 28392
(910) 862-2696
(910) 862-2696
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-009-004
NC
Other
Enumeration date
09/27/2007
Last updated
03/21/2024
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