Organization
CEDAR GROVE FAMILY CARE #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HANNAH M COLLINS (ADMINISTRATOR)
(919) 732-8850
Entity
Organization
Contact information
Practice address
403 SAWMILL RD, CEDAR GROVE, NC 27231-9295
(919) 732-8850
Mailing address
PO BOX 57, 403 SAWMILL RD, CEDAR GROVE, NC 27231-0057
(919) 732-8850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL068002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805243
—
NC
Enumeration date
01/03/2007
Last updated
08/22/2020
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