Annie L Long
NPI #1255460259 in Yanceyville, North Carolina
Provider Information
- NPI Number
- 1255460259
- Entity Type
- Organization
- Organization Name
- Annie L Long
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Aug 16, 2007
Practice Location
- Address
- 591 MARSHALL GRAVES RD
- City
- Yanceyville
- State
- North Carolina
- ZIP Code
- 27379-8600
- Phone
- (336) 694-9505
Authorized Official
- Name
- MRS. ANNIE L LONG
- Title
- OWNER
- Phone
- (336) 694-9505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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