Cherrys Family Care #2

Organization Active NPI Adult Care Home Facility · Aulander, NC

NPI 1306963079 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1306963079
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
FCL008002 (NC)
Legal business name
CHERRYS FAMILY CARE #2
Practice address
743 Charles Taylor Road
Aulander, NC 27805
Phone
(252) 794-2269
NPI assigned
Mar 26, 2007
Organization subpart
No

Authorized official

Name
Gladys Cherry
Title
Administrator
Phone
(252) 794-2269

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL008002 NC Yes

Addresses

Primary practice location

743 Charles Taylor Road
Aulander, NC 27805

Mailing address

743 Charles Taylor Road
Aulander, NC 27805

Other identifiers

IdentifierTypeStateIssuer
7801845MedicaidNC

Other providers in Aulander, NC

All providers in Aulander, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.