Eastway Family Care
Organization Active NPI Custodial Care Facility · Graham, NC
NPI 1265865489 · NPPES record last updated Aug 12, 2013
Key facts
- NPI
- 1265865489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- License
- FCL-001-151 (NC)
- Legal business name
- EASTWAY FAMILY CARE
- Practice address
- 108 Eastway LN
Graham, NC 27253-3704 - Phone
- (336) 436-0219
- Fax
- (336) 270-3925
- NPI assigned
- Aug 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Jay L Mebane
- Title
- Administrator-Owner
- Phone
- (336) 213-3839
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | FCL-001-151 | NC | Yes |
Addresses
Primary practice location
108 Eastway LN
Graham, NC 27253-3704
Mailing address
108 Eastway LN
Graham, NC 27253-3704
Phone (336) 436-0219
Other providers in Graham, NC
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- Stephanie Dunn
- Tyler Michael Dwyer
- E-Merge Resources
- Eckerd Corporation
- Cary Eddy
- Ashley Venise Edgerton
- Breanna Lea Ellington
- Matthew Patrick Ellison
All providers in Graham, NC · Custodial Care Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.