Organization
LUCY NANNIE HAIRSTON
Active
Other names
L & L Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY HAIRSTON (OWNER)
(336) 939-7176
Entity
Organization
Contact information
Practice address
3023 CHANDLER MILL RD, PELHAM, NC 27311-8785
(336) 939-7176
Mailing address
3023 CHANDLER MILL RD, PELHAM, NC 27311-8785
(336) 939-7176
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-017-026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803034
—
NC
Enumeration date
06/06/2007
Last updated
07/19/2023
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