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GAVIN & DOWNEY HEAVENLY LIVING HOME 1

Adult Care Home

Norlina, North Carolina

Provider NPI: 1114125622

Organization Information:
Organization Name:  GAVIN & DOWNEY HEAVENLY LIVING HOME 1


Practice Location:
426 ROOKER DAIRY RD  NORLINA, NC 27563 US
Tel: 252-456-9996  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCMHL-093-036

Other Provider Identifiers:

IssuerNumberStateType
7805804NC05
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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