|Entity Type||Healthcare Provider|
|Active||Over 9 years ago|
|Name||TONY MELVIN TONY|
|12519 US HWY 501 SOUTH
MAXTON NC, 28364, US
|PO BOX 182
12519 US HWY 501 SOUTH
MAXTON NC, 28364-0182, US
|License State||North Carolina|
|Remove 1710170238 NPI Number|
According to our database, Fairley Support Group Home Inc. NPI is 1710170238, taxonomy code is 320600000X and license number is MHL-078-174, license state is located at North Carolina. Fairley Support Group Home Inc. physically located at 12519 Us Hwy 501 South, Maxton NC, 28364. NPI Number 1033115704 has the healthcare provider type.
1710170238 NPI number is provided on an as is basis without warranty of any kind. 1710170238 is maintained by the National Plan & Provider Enumeration System. The contents of Fairley Support Group Home Inc. are for informational purposes only.