Organization
HUDSON'S FAMILY CARE HOME #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSIE HUDSON (OWNER)
(336) 629-3710
Entity
Organization
Contact information
Practice address
695 MOORE RD, ASHEBORO, NC 27205-2838
(336) 629-3710
Mailing address
695 MOORE RD, ASHEBORO, NC 27205-2838
(336) 629-3710
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
FCH076002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801779
—
NC
Enumeration date
12/20/2007
Last updated
12/20/2007
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