NPI 1942353321

Family Affair Care Group Management INC

Organisation Intellectual Disabilities Intermediate Care Facility Gibsonville, NC

Practice location

Address: 6113 Blue Lantern Rd, Gibsonville, NC 27249-8737
Phone: (336) 443-5690
Fax: (336) 449-5690
Mailing address: 2302 W Meadowview Rd STE 208, Greensboro, NC 27407-3706

Authorised official

Name: Willie Lee Gibson
Title: President
Phone: (336) 274-1269

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 3406564 (NC)

Other Intermediate Care Facility, Intellectual Disabilities providers in North Carolina →

Registry record

NPI: 1942353321
Entity type: Organization
NPI issued: 19 Jan 2007
Record last updated: 29 May 2024

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.