Organization
TAYLOR FAMILY CARE 2 LLC
Active
Other names
Spann Family Care, Taylor Family Care 2 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTELLA JOANN SPANN (OWNER / SUPERVISOR IN CHARGE)
(336) 694-1878
Entity
Organization
Contact information
Practice address
1136 BERTHA WILSON RD, BLANCH, NC 27212-9795
(336) 694-1878
(336) 694-1878
Mailing address
1136 BERTHA WILSON RD, BLANCH, NC 27212-9795
(336) 694-1878
(336) 694-1878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017058
FACILITY LICENSE NUMBER
NC
Enumeration date
02/09/2022
Last updated
02/09/2022
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