Organization
MARKS FAMILY CARE #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WOODSON (ADMINSTRATIOR)
(336) 349-2585
Entity
Organization
Contact information
Practice address
476 HWY 87, REIDSVILLE, NC 27320
(336) 349-2585
(336) 349-3174
Mailing address
1009 BENNETT ST, GREENSBORO, NC 27406-2004
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL079081
NC
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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