Lowe Family Care Home #3

NPI 1063696565 - Clinic/Center - 261QH0100X

NPI Details
NPI 1063696565
Enumeration Date 12/20/2007
Last Updated 12/20/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MATTIE MATTIE
Position OWNER
Phone (910) 791-7067
Fax
Practice Location
136 MCQUILLAN DR
WILMINGTON NC, 28412-3110, US
Phone (910) 791-7067
Fax
Business Location
136 MCQUILLAN DR
WILMINGTON NC, 28412-3110, US
Phone (910) 791-7067
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State North Carolina
License Number FCH065011
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According to our database, Lowe Family Care Home #3 NPI is 1063696565, taxonomy code is 261QH0100X and license number is FCH065011, license state is located at North Carolina. Lowe Family Care Home #3 physically located at 136 Mcquillan Dr, Wilmington NC, 28412-3110. NPI Number 1033115704 has the healthcare provider type.

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1063696565 NPI number is provided on an as is basis without warranty of any kind. 1063696565 is maintained by the National Plan & Provider Enumeration System. The contents of Lowe Family Care Home #3 are for informational purposes only.