Organization
FAMILY HOMECARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEGA L BURNS (OWNER)
(704) 904-5097
Entity
Organization
Contact information
Practice address
215 SCHOOL STREET, PEACHLAND, NC 28133
(704) 292-7068
Mailing address
215 SCHOOL STREET, PEACHLAND, NC 28133
(704) 292-7068
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
061143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3517
FACILITY ID NUMBER
NC
Enumeration date
01/24/2007
Last updated
08/14/2008
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