Organization
BRUTON FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLA MAE BRUTON (ADMINISTRATOR)
(910) 439-4522
Entity
Organization
Contact information
Practice address
109 CEDAR STREET, MOUNT GILEAD, NC 27306-0187
(910) 439-4522
(910) 439-6926
Mailing address
PO BOX 187, MOUNT GILEAD, NC 27306-0187
(910) 439-4522
(910) 439-6926
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-062-006
NC
Other
Enumeration date
07/31/2007
Last updated
08/05/2007
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