Evans Forever Young Family Care Home

NPI 1376685800 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1376685800
Enumeration Date 02/12/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERMA J ERMA
Position OWNER
Phone (336) 584-1968
Fax (336) 584-4500
Practice Location
3746 DANIELEY WATER WHEEL RD
BURLINGTON NC, 27217-7925, US
Phone (336) 584-1968
Fax (336) 584-4500
Business Location
3746 DANIELEY WATER WHEEL RD
BURLINGTON NC, 27217-7925, US
Phone (336) 584-1968
Fax (336) 584-4500
Toxanomy
Taxonomy Code 311Z00000X
License State North Carolina
License Number FCL-001-051
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According to our database, Evans Forever Young Family Care Home NPI is 1376685800, taxonomy code is 311Z00000X and license number is FCL-001-051, license state is located at North Carolina. Evans Forever Young Family Care Home physically located at 3746 Danieley Water Wheel Rd, Burlington NC, 27217-7925. NPI Number 1033115704 has the healthcare provider type.

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1376685800 NPI number is provided on an as is basis without warranty of any kind. 1376685800 is maintained by the National Plan & Provider Enumeration System. The contents of Evans Forever Young Family Care Home are for informational purposes only.