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CHERRY'S FAMILY CARE #3 NPI 1063774982


NPI Information

NPI: 1063774982
Provider Name: CHERRY'S FAMILY CARE #3
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
106 HARMON STREET
AULANDER, NC
ZIP 27805
Phone: (252) 395-1704
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CHERRY'S FAMILY CARE #3 is an adult care home custodial care facility in Aulander, 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. CHERRY'S FAMILY CARE #3 NPI is 1063774982. The provider is registered as an organization entity type.

The provider's business location address is:

106 HARMON STREET
AULANDER, NC
ZIP 27805-236
Phone: (252) 395-1704
Fax: (252) 443-2463

The provider's authorized official is Calandra Shanice Cherry .
The authorized official title is Administrator and has the following contact phone number (252) 395-1704.

The enumeration date for this NPI number is 6/15/2012 and was last updated on 6/15/2012.


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-008-032NORTH CAROLINAYes

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: 4/28/2024

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