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JAMIE R. KIRBY

Adult Care Home

Connellys Springs, North Carolina

Provider NPI: 1235341728

Organization Information:
Organization Name:  JAMIE R. KIRBY


Practice Location:
3208 TEX'S FISH CAMP ROAD  CONNELLYS SPRINGS, NC 28612 US
Tel: 828-397-6090  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL012033

Other Provider Identifiers:

IssuerNumberStateType
MEDICAID PROVIDER NUMBER7806180NC01
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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