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Organization

GWENS FAMILY CARE HOME 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GWEN SHOFFNER HUNTER (ADMINISTRATOR)
(336) 622-1842
Entity
Organization

Contact information

Practice address
7964 COUNTY LINE RD, A, LIBERTY, NC 27298-9590
(336) 622-1842
Mailing address
236 S ASHEBORO ST, LIBERTY, NC 27298-7503
(336) 622-1842

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NC

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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