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Organization

FAMILY AFFAIR CARE GROUP MANAGEMENT INC

Active
Parent organization
FAMILY AFFAIR CARE GROUP MANAGEMENT, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILY AFFAIR CARE GROUP MANAGEMENT, INC
Authorized official
MR. WILLIE LEE GIBSON (PRESIDENT)
(336) 274-1269
Entity
Organization

Contact information

Practice address
6113 BLUE LANTERN RD, GIBSONVILLE, NC 27249-8737
(336) 443-5690
(336) 449-5690
Mailing address
2302 W MEADOWVIEW RD STE 208, GREENSBORO, NC 27407-3706
(336) 274-1269
(336) 272-2387

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
3406564
NC

Other

Enumeration date
01/19/2007
Last updated
05/29/2024
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