DAPHNE'S FAMILY CARE HOME
Adult Care Home
Reidsville, North Carolina
Provider NPI: 1780803270
Organization Information:Organization Name: DAPHNE'S FAMILY CARE HOME
Practice Location:
1802 AMOS ST REIDSVILLE, NC 27320 US
Tel: 336-342-4040 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:
1802 AMOS ST REIDSVILLE, NC 27320 US
Tel: 336-342-4040 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | FCL-079-024 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | FCL-079-029 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | FCL-079-025 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | FCL-079-038 |
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | FCL-079-047 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7801517 | NC | 05 | |
7803358 | NC | 05 | |
7803346 | NC | 05 | |
7804199 | NC | 05 | |
7803345 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin