Elsie-doris Family Care Home

NPI 1013185644 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1013185644
Enumeration Date 02/17/2008
Last Updated 02/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PAQUITA TAMECIA PAQUITA
Position OWNER/ADMINISTRATOR
Phone (919) 949-1175
Fax (919) 794-8106
Practice Location
306 CHERRY GRV
DURHAM NC, 27703-3006, US
Phone (919) 949-1175
Fax (919) 794-8106
Business Location
PO BOX 3375
DURHAM NC, 27702-3375, US
Phone (919) 949-1175
Fax (919) 794-8106
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number FCL032088
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According to our database, Elsie-doris Family Care Home NPI is 1013185644, taxonomy code is 311ZA0620X and license number is FCL032088, license state is located at North Carolina. Elsie-doris Family Care Home physically located at 306 Cherry Grv, Durham NC, 27703-3006. NPI Number 1033115704 has the healthcare provider type.

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1013185644 NPI number is provided on an as is basis without warranty of any kind. 1013185644 is maintained by the National Plan & Provider Enumeration System. The contents of Elsie-doris Family Care Home are for informational purposes only.