Organization
C&M ADULT CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORETTA R. WILSON ALEXANDER (SUPERVISOR IN CHARGE)
(336) 227-5216
Entity
Organization
Contact information
Practice address
422 N MAIN ST, BURLINGTON, NC 27217-3908
(336) 227-5216
Mailing address
422 N MAIN ST, BURLINGTON, NC 27217-3908
(336) 227-5216
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-001-089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804163
—
NC
Enumeration date
02/28/2007
Last updated
06/26/2008
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