Organization
CHRISTIAN FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA HOOD (OWNER)
(704) 218-6457
Entity
Organization
Contact information
Practice address
429 E FRANKLIN ST, MONROE, NC 28112-5601
(704) 218-6457
Mailing address
429 E FRANKLIN ST, MONROE, NC 28112-5601
(704) 218-6457
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FCL090015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802309
—
NC
Enumeration date
01/05/2007
Last updated
08/22/2020
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