Organization
HOUSE OF LOVE FAMILY CARE HOME
Active
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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