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GLADYS POTEAT

Adult Care Home

Milton, North Carolina

Provider NPI: 1538289053

Organization Information:
Organization Name:  GLADYS POTEAT


Practice Location:
1354 YARBOROUGHS MILL RD  MILTON, NC 27305 US
Tel: 336-234-7155  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL017024

Other Provider Identifiers:

IssuerNumberStateType
7802244NC05
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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