Community Care Home

NPI #1124493945 in Burlington, North Carolina

Provider Information

NPI Number
1124493945
Entity Type
Organization
Organization Name
Community Care Home
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Dec 4, 2015
Last Updated
Dec 4, 2015

Practice Location

Address
1104 S CHURCH ST
ZIP Code
27215-5048
Phone
(336) 350-8295

Authorized Official

Name
MRS. HAZEL J SPRUILL
Title
OWENER
Phone
(336) 350-2690

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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Provider Name
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