Organization
YOUR GRACE & MERCY FCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FEBBIE GANT WILSON (ADMINISTRATOR)
(336) 222-0312
Entity
Organization
Contact information
Practice address
919 ELM ST, BURLINGTON, NC 27217-1367
(336) 222-0312
(336) 222-0312
Mailing address
919 ELM ST, BURLINGTON, NC 27217-1367
(336) 222-0312
(336) 222-0312
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
001-133
NC
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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