Organization
FAMILY TIES ADULT CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE ALLAN HOWARD (DIRECTOR)
(704) 785-4520
Entity
Organization
Contact information
Practice address
305 BETHPAGE RD, KANNAPOLIS, NC 28081-4812
(704) 785-4520
(704) 782-0554
Mailing address
305 BETHPAGE RD, KANNAPOLIS, NC 28081-4812
(704) 785-4520
(704) 782-0554
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
FCL013040
NC
Other
Enumeration date
03/21/2011
Last updated
04/05/2011
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