Cherry's Group Home

NPI 1043334212 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1043334212
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALPHONSO EARL ALPHONSO
Position ADMINISTRATOR
Phone (252) 345-1353
Fax (252) 345-4125
Practice Location
108 HARMON STREET
AULANDER NC, 27805-0506, US
Phone (252) 345-1353
Fax (252) 345-4125
Business Location
108 HARMON STREET
AULANDER NC, 27805-0506, US
Phone (252) 345-1353
Fax (252) 345-4125
Toxanomy
Taxonomy Code 3104A0625X
License State North Carolina
License Number MHL-008-004
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According to our database, Cherry's Group Home NPI is 1043334212, taxonomy code is 3104A0625X and license number is MHL-008-004, license state is located at North Carolina. Cherry's Group Home physically located at 108 Harmon Street, Aulander NC, 27805-0506. NPI Number 1033115704 has the healthcare provider type.

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1043334212 NPI number is provided on an as is basis without warranty of any kind. 1043334212 is maintained by the National Plan & Provider Enumeration System. The contents of Cherry's Group Home are for informational purposes only.