Home Away From Home Family Care Center

NPI 1073817680 - Assisted Living Facility - 310400000X

NPI Details
NPI 1073817680
Enumeration Date 12/23/2010
Last Updated 12/23/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TINA TINA
Position ADMINISTRATOR
Phone (704) 313-7086
Fax
Practice Location
107 BRETT DR
SHELBY NC, 28152-9107, US
Phone (704) 313-7086
Fax
Business Location
PO BOX 711
SHELBY NC, 28151-0711, US
Phone (704) 751-7602
Fax (704) 918-1273
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number FLC-023-040
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According to our database, Home Away From Home Family Care Center NPI is 1073817680, taxonomy code is 310400000X and license number is FLC-023-040, license state is located at North Carolina. Home Away From Home Family Care Center physically located at 107 Brett Dr, Shelby NC, 28152-9107. NPI Number 1033115704 has the healthcare provider type.

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1073817680 NPI number is provided on an as is basis without warranty of any kind. 1073817680 is maintained by the National Plan & Provider Enumeration System. The contents of Home Away From Home Family Care Center are for informational purposes only.