Organization
BEVERLY RUCKER FAMILY CARE HOME #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY LAWSON RUCKER (ADMINISTRATOR)
(336) 613-1552
Entity
Organization
Contact information
Practice address
1123 CRUTCHFIELD RD, REIDSVILLE, NC 27320-8954
(336) 613-1552
(336) 349-2873
Mailing address
1123 CRUTCHFIELD RD, REIDSVILLE, NC 27320-8954
(336) 613-1552
(336) 349-2873
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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