Organization
KELLAMS FAMILY CARE HOME LLC
Active
Organization
KELLAMS FAMILY CARE HOME LLC
Active
Other names
KELLAMS FAMILY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KEESEE THOMAS (ADMINISTRATOR)
(336) 613-5065
Entity
Organization
Contact information
Practice address
109 ROANOKE ST, REIDSVILLE, NC 27320-3023
(336) 637-8292
(336) 361-3194
Mailing address
505 STAPLES ST, REIDSVILLE, NC 27320-3034
(336) 342-1388
(336) 361-3194
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL079098
NC
Other
Enumeration date
07/30/2015
Last updated
01/25/2022
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