MCDUFFIE PERSONAL CARE SERVICES INC
Adult Care Home
Fayetteville, North Carolina
Provider NPI: 1477604288
Organization Information:Organization Name: MCDUFFIE PERSONAL CARE SERVICES INC
Practice Location:
1826 WENDOVER DR FAYETTEVILLE, NC 28304 US
Tel: 910-486-6118 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:
1826 WENDOVER DR FAYETTEVILLE, NC 28304 US
Tel: 910-486-6118 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 | MHL026659 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3409131 | NC | 05 | |
7804538 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin