Mary Rebecca's Village
NPI #1255774485 in Hampstead, North Carolina
Provider Information
- NPI Number
- 1255774485
- Entity Type
- Organization
- Organization Name
- Mary Rebecca's Village
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 8, 2013
- Last Updated
- Apr 9, 2013
Practice Location
- Address
- 13605 US HIGHWAY 17 N
- City
- Hampstead
- State
- North Carolina
- ZIP Code
- 28443-1945
- Phone
- (910) 319-0450
Authorized Official
- Name
- MS. CYNTHIA DANETTA GARRISON
- Title
- ADMINISTRATOR
- Phone
- (910) 527-4673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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