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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