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Organization

DANIELS' FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA COSTEN DANIELS (ADMINISTRATOR/OWNER)
(252) 972-6995
Entity
Organization

Contact information

Practice address
1509 CHARTER DR, ROCKY MOUNT, NC 27801-3544
(252) 972-6995
(252) 972-6995
Mailing address
1509 CHARTER DR, ROCKY MOUNT, NC 27801-3544
(252) 972-6995
(252) 972-6995

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-033-068
NC

Other

Enumeration date
12/11/2009
Last updated
12/11/2009
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