Wingo Family Care Home

NPI 1568649093 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1568649093
Enumeration Date 01/28/2008
Last Updated 01/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name AMANDA KAYE AMANDA
Position OWNER/ADMINISTRATOR
Phone (980) 241-3237
Fax
Practice Location
5400 BUCKS GARAGE RD
MAIDEN NC, 28650-9023, US
Phone (980) 241-3237
Fax
Business Location
5400 BUCKS GARAGE RD
MAIDEN NC, 28650-9023, US
Phone (980) 241-3237
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number FCL-018-029
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According to our database, Wingo Family Care Home NPI is 1568649093, taxonomy code is 311ZA0620X and license number is FCL-018-029, license state is located at North Carolina. Wingo Family Care Home physically located at 5400 Bucks Garage Rd, Maiden NC, 28650-9023. NPI Number 1033115704 has the healthcare provider type.

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1568649093 NPI number is provided on an as is basis without warranty of any kind. 1568649093 is maintained by the National Plan & Provider Enumeration System. The contents of Wingo Family Care Home are for informational purposes only.