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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