Organization
ANGEL'S FAMILY CARE #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J GRAVES (OWNER)
(336) 228-9376
Entity
Organization
Contact information
Practice address
410 BROOKLYN ST, BURLINGTON, NC 27217-1108
(336) 221-1444
(336) 228-9376
Mailing address
410 BROOKLYN ST, BURLINGTON, NC 27217-1108
(336) 221-1444
(336) 228-9376
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL001078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803965
—
NC
Enumeration date
03/28/2007
Last updated
02/12/2008
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