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CAROL LEE FAMILY CARE HOME

Adult Care Home

Liberty, North Carolina

Provider NPI: 1952423394

Organization Information:
Organization Name:  CAROL LEE FAMILY CARE HOME


Practice Location:
319 E RALEIGH AVE  LIBERTY, NC 27298 US
Tel: 336-622-3002  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL-076-021

Other Provider Identifiers:

IssuerNumberStateType
7803999NC05
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



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