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Organization

ROBERT JONES

Active
Other names
Banner Family Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JONES (OWNER)
(919) 220-2361
Entity
Organization

Contact information

Practice address
2913 BANNER ST, DURHAM, NC 27704-3213
(919) 220-2361
Mailing address
203 N MAIN ST, SUITE 315, ROXBORO, NC 27573-5343
(919) 220-2361

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-032-066
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804335
NC
Enumeration date
05/16/2007
Last updated
08/22/2020
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