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MT. OLIVE FAMILY CARE HOME #2

Nursing Yellow Pages

Fairmont, North Carolina

Provider NPI: 1700914595

Organization Information:
Organization Name:  MT. OLIVE FAMILY CARE HOME #2


Practice Location:
14471 NC HIGHWAY 41 S  FAIRMONT, NC 28340 US
Tel: 910-628-7594  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL-078-015

Other Provider Identifiers:

IssuerNumberStateType
7801471NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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