NPI 1013048107

Home Away From Home

Organisation Assisted Living Facility Gibsonville, NC

Practice location

Address: 334 Zeb Rd, Gibsonville, NC 27249-9507
Phone: (336) 342-2213
Fax: (336) 349-7985
Mailing address: PO Box 155, Reidsville, NC 27323-0155

Authorised official

Name: Shuvon Levette Rankin
Title: Owner, Administrator
Phone: (336) 348-9924

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence FCL 079-051 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1013048107
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.