Gwen Family Care Home No2

Organization Active NPI Home Health Agency · Liberty, NC

NPI 1619002250 · NPPES record last updated Jan 3, 2008

Key facts

NPI
1619002250
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
FLC001058 (NC)
Legal business name
GWEN FAMILY CARE HOME NO2
Practice address
236 S Asheboro St
Liberty, NC 27298-7503
Phone
(336) 622-1842
Fax
(336) 622-9845
NPI assigned
Feb 23, 2007
Organization subpart
No

Authorized official

Name
Gwen Hunter
Title
Adminastrator
Phone
(336) 622-1842

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Gwen Family Care Home No2 (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FLC001058 NC Yes

Addresses

Primary practice location

236 S Asheboro St
Liberty, NC 27298-7503

Mailing address

236 S Asheboro St
Liberty, NC 27298-7503
Phone (336) 622-1842

Other providers in Liberty, NC

All providers in Liberty, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.