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Organization

RICHARDSONS FAMILY CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNIE RICHARDSON (OWNER)
(704) 933-7081
Entity
Organization

Contact information

Practice address
2603 PLANER AVE., KANNAPOLIS, NC 28083-2802
(704) 933-7081
Mailing address
2603 PLANER AVE., KANNAPOLIS, NC 28083-2802
(704) 933-7081

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL080005
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801752
NC
Enumeration date
02/20/2007
Last updated
08/22/2020
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