Organization
HOUSE OF LOVE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY MOZELA OUTLAW (ADMINISTRATOR)
(252) 330-9935
Entity
Organization
Contact information
Practice address
994 CHICKEN CORNER RD, ELIZABETH CITY, NC 27909-8545
(252) 338-6648
Mailing address
994 CHICKEN CORNER RD, ELIZABETH CITY, NC 27976
(252) 338-6648
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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