Organization
K & G FAMILY CARE HOME
Active
Other names
K N G Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JONES SOMERVILLE (OWNER/ADMINISTRATOR)
(252) 213-9012
Entity
Organization
Contact information
Practice address
303 W FRANKLIN ST, WARRENTON, NC 27589-1937
(252) 213-9012
Mailing address
PO BOX 601, WARRENTON, NC 27589-0601
(252) 213-9012
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-093-004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801382
—
NC
Enumeration date
02/19/2008
Last updated
02/19/2008
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