Organization
EMMANUEL FAMILY CARE II,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN ROBINSON WILLIAMS (ADMINISTRATOR)
(336) 585-2025
Entity
Organization
Contact information
Practice address
2655 WHITE OAK DR, BURLINGTON, NC 27215-8829
(336) 585-2025
(336) 584-5037
Mailing address
2655 WHITE OAK DR, BURLINGTON, NC 27215-8829
(336) 585-2025
(336) 584-5037
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-001-102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805364
—
NC
Enumeration date
03/28/2007
Last updated
06/13/2008
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