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ANNIE L LONG

Adult Care Home

Yanceyville, North Carolina

Provider NPI: 1255460259

Organization Information:
Organization Name:  ANNIE L LONG


Practice Location:
591 MARSHALL GRAVES RD  YANCEYVILLE, NC 27379 US
Tel: 336-694-9505  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL017011

Other Provider Identifiers:

IssuerNumberStateType
7801383NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1