C&M ADULT CARE HOME
Adult Care Home
Burlington, North Carolina
Provider NPI: 1972630614
Organization Information:Organization Name: C&M ADULT CARE HOME
Practice Location:
422 N MAIN ST BURLINGTON, NC 27217 US
Tel: 336-227-5216 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
422 N MAIN ST BURLINGTON, NC 27217 US
Tel: 336-227-5216 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | FCL-001-089 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7804163 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin