Organization
KERNODLES FAMILY CARE NO-1
Active
Organization
KERNODLES FAMILY CARE NO-1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COKY A KERNODLE ADMINISTRATOR (OWNER/ADMINISTRATOR)
(336) 327-9438
Entity
Organization
Contact information
Practice address
311 CHERRY ST, EDEN, NC 27288-5637
(336) 627-3243
Mailing address
244 HOMESTEAD DR, STONEVILLE, NC 27048-7551
(336) 327-9438
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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