Organization
KELLAM'S FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DARLENE GALLOWAY (ADMINISTRATOR)
(336) 264-2862
Entity
Organization
Contact information
Practice address
109 ROANOKE ST, REIDSVILLE, NC 27320-3023
(336) 264-2862
(336) 342-4473
Mailing address
PO BOX 2233, 109 ROANOKE STREET, REIDSVILLE, NC 27323-2233
(336) 264-2862
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-079-094
NC
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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