Organization
G. ANTHONY RUCKER REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE ANTHONY RUCKER (OWNER)
(336) 613-0346
Entity
Organization
Contact information
Practice address
1196 HODGES DAIRY RD, YANCEYVILLE, NC 27379-8710
(336) 613-0946
(336) 349-2873
Mailing address
1196 HODGES DAIRY RD, YANCEYVILLE, NC 27379-8710
(336) 613-0946
(336) 349-2873
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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