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MR. VANDERBILL CHERRY

Adult Care Home

Aulander, North Carolina

Provider NPI: 1588796791

Provider Information:
MR. VANDERBILL  CHERRY 


Practice Location:
1215 CHARLES TAYLOR RD  AULANDER, NC 27805 US
Tel: 252-345-3732  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL-008-001

Other Provider Identifiers:

IssuerNumberStateType
7803061NC05
7801392NC05
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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