Organization
NEEDHAM FAMILY CARE HOME INC
Active
Organization
NEEDHAM FAMILY CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY MARVIN NEEDHAM SR. (PRESIDENT ADMINISTRATOR OWNER)
(252) 336-4344
Entity
Organization
Contact information
Practice address
916 SANDY HOOK RD, SHILOH, NC 27974
(252) 336-4344
(252) 336-4342
Mailing address
916 SANDY HOOK RD, SHILOH, NC 27974
(252) 336-4344
(252) 336-4344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FLC15001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801023
—
NC
Enumeration date
04/12/2007
Last updated
08/10/2007
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