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MICHAL PAUL DOVE

Adult Care Home

Bladenboro, North Carolina

Provider NPI: 1033268800

Provider Information:
 MICHAL PAUL DOVE 


Practice Location:
7264 NC 211 BUS HWY S  BLADENBORO, NC 28320 US
Tel: 910-863-3139  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL-009-022

Other Provider Identifiers:

IssuerNumberStateType
7805695NC05
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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