Cherrys Family Care #3

Organization Active NPI Adult Care Home Facility · Aulander, NC

NPI 1467576819 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1467576819
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
FCL008008 (NC)
Legal business name
CHERRYS FAMILY CARE #3
Practice address
106 Harmon Street
Aulander, NC 27805-0236
Phone
(252) 345-1310
Fax
(252) 345-1310
NPI assigned
Mar 19, 2007
Organization subpart
No

Authorized official

Name
Mr. Anthony Cherry
Title
Administrator
Phone
(252) 345-1338

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL008008 NC Yes

Addresses

Primary practice location

106 Harmon Street
Aulander, NC 27805-0236

Mailing address

PO Box 236
Aulander, NC 27805-0236
Phone (252) 345-1338

Other identifiers

IdentifierTypeStateIssuer
7801412MedicaidNC

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.