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Organization

ANNIE P LONG

Active
Other names
New Beginning Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
ANNIE P LONG (OWNER)
(336) 214-1817
Entity
Organization

Contact information

Practice address
591 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8600
(336) 694-9505
Mailing address
PO BOX 1112, YANCEYVILLE, NC 27379-1112
(336) 694-9505

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-01-7011
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801383
NC
Enumeration date
08/28/2007
Last updated
07/18/2023
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