Organization
MCLEAN FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORA LEE (ADMINISTRATOR)
(910) 588-4619
Entity
Organization
Contact information
Practice address
83 ESTERVILLE RD, ELIZABETHTOWN, NC 28337-6411
(910) 588-4619
(910) 588-6165
Mailing address
83 ESTERVILLE RD, ELIZABETHTOWN, NC 28337-6411
(910) 588-4619
(910) 588-6165
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL009-005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802504
—
NC
Enumeration date
12/22/2006
Last updated
08/22/2020
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