Organization
KINILLIE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINESHIA HARRIS (ADMINISTRATOR)
(252) 955-3719
Entity
Organization
Contact information
Practice address
448 PLEASANT HILL RD, ROCKY MOUNT, NC 27801-8708
(252) 955-3719
Mailing address
8017 NC HIGHWAY 33 E, TARBORO, NC 27886-8976
(252) 955-3719
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-033-015
NC
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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