Organization
CLASSIC COUNTRY CARE INC
Active
Organization
CLASSIC COUNTRY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE MURPHY MOZINGO (PRESIDENT)
(252) 527-8944
Entity
Organization
Contact information
Practice address
288 HWY 11 S, KINSTON, NC 28504
(252) 527-8944
(252) 527-2496
Mailing address
288 HWY 11 S, KINSTON, NC 28504
(252) 527-8944
(252) 527-2496
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL - 054-001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802704
—
NC
Enumeration date
09/18/2007
Last updated
09/18/2007
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