Organization
GP YANCEY ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE YANCEY (ADMINISTRATOROWNER)
(336) 599-7502
Entity
Organization
Contact information
Practice address
5975 BOSTON RD, ROXBORO, NC 27574-9182
(336) 599-7502
(336) 599-6872
Mailing address
183 DEE YANCEY RD, ROXBORO, NC 27574-6435
(336) 599-7502
(336) 599-6872
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL073-012
NC
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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