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Organization

SAMPSON FAMILY CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LESIA SAMPSON HAMMONDS (ADMINISTRATOR)
(910) 521-8843
Entity
Organization

Contact information

Practice address
101 VANCE ST., PEMBROKE, NC 28372
(910) 521-8843
(910) 521-8336
Mailing address
PO BOX 2895, PEMBROKE, NC 28372-2895
(910) 521-8843
(910) 521-8336

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
780-028
NC

Other

Enumeration date
08/31/2007
Last updated
08/31/2007
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