Leslie Evelyn Todd Oak Grove Family Care
NPI #1073796264 in Bladenboro, North Carolina
Provider Information
- NPI Number
- 1073796264
- Entity Type
- Organization
- Organization Name
- Leslie Evelyn Todd Oak Grove Family Care
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 11, 2007
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 583 SASSAFRAS RD
- Address 2
- ROUTE 4 BOX 271
- City
- Bladenboro
- State
- North Carolina
- ZIP Code
- 28320-5925
- Phone
- (910) 648-2176
Authorized Official
- Name
- ANDREA CALLIHAN DOVE, ADMINISTRATOR, LPN
- Title
- ADMINISTRATOR
- Phone
- (910) 648-2176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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