NPI 1124493945

Community Care Home

Organisation Adult Care Home Facility Burlington, NC

Practice location

Address: 1104 S Church St, Burlington, NC 27215-5048
Phone: (336) 350-8295

Authorised official

Name: Hazel J Spruill
Title: Owener
Phone: (336) 350-2690

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence FCL-001-162 (NC)

Other Custodial Care Facility providers in North Carolina →

Registry record

NPI: 1124493945
Entity type: Organization
NPI issued: 4 Dec 2015
Record last updated: 4 Dec 2015

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.