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Contact Information

EVERETT FAMILY CARE HOME
402 BROAD ST
AULANDER, NC27805
 Phone: 252-345-1452
 Fax: 252-345-1452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Care Home

311ZA0620X
Indicates primary specialty

NPI Profile & details for EVERETT FAMILY CARE HOME

NPI Number 1992903926
LBN Legal business name EVERETT FAMILY CARE HOME
Authorized official KENNITH GREENE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2007
Last updated 07/11/2007 - About 19 years ago
Identifiers
NC License # FL008010
NC Medicaid 7803179
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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