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MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE NPI 1679693600


NPI Information

NPI: 1679693600
Provider Name: MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
248 LIVERMORE DR
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 867-0215
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MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE is an adult care home custodial care facility in Fayetteville, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MCLEOD FAMILY CARE CENTER OF FAYETTEVILLE NPI is 1679693600. The provider is registered as an organization entity type.

The provider's business location address is:

248 LIVERMORE DR
FAYETTEVILLE, NC
ZIP 28314-616
Phone: (910) 867-0215

The provider's authorized official is Joyce Mcleod .
The authorized official title is Office Manager and has the following contact phone number (910) 867-0215.

The enumeration date for this NPI number is 3/31/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeFCL-026-008NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17801663MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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