Leslie Evelyn Todd Oak Grove Family Care

NPI 1073796264 - Assisted Living Facility - 310400000X

NPI Details
NPI 1073796264
Enumeration Date 12/11/2007
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANDREA CALLIHAN ANDREA
Position ADMINISTRATOR
Phone (910) 648-2176
Fax (910) 648-5785
Practice Location
583 SASSAFRAS RD
ROUTE 4 BOX 271
BLADENBORO NC, 28320-5925, US
Phone (910) 648-2176
Fax (910) 648-5785
Business Location
583 SASSAFRAS RD
BLADENBORO NC, 28320-5925, US
Phone (910) 648-2176
Fax (910) 648-5785
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number FCL-009-008
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According to our database, Leslie Evelyn Todd Oak Grove Family Care NPI is 1073796264, taxonomy code is 310400000X and license number is FCL-009-008, license state is located at North Carolina. Leslie Evelyn Todd Oak Grove Family Care physically located at 583 Sassafras Rd, Bladenboro NC, 28320-5925. NPI Number 1033115704 has the healthcare provider type.

1073796264 NPI number is provided on an as is basis without warranty of any kind. 1073796264 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Evelyn Todd Oak Grove Family Care are for informational purposes only.