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Annie L Long
Adult Care Home Facility in Yanceyville, North Carolina
NPI 1154450591

Annie L Long is an Adult Care Home Facility based in Yanceyville, NC and is specialized in Adult Care Home. Annie L Long practices in Yanceyville, NC. The NPI Number for Annie L Long is 1154450591 and holds a License No. FCL017021 (North Carolina).

The current practice location address for Annie L Long is 3879 Hodges Dairy Rd, Yanceyville, NC and can be reached out via phone at 336-694-9994 and via fax at 336-694-1107.

Location: 3879 Hodges Dairy Rd, Yanceyville, NC, 27379-1112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154450591
Provider Name
Annie L Long
Credential
Provider Entity Type
Organization
Address
3879 Hodges Dairy Rd, Yanceyville, NC, 27379-1112
Phone Number
336-694-9994
Fax Number
336-694-1107
Provider Enumeration Date
03/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7801386 05 NC
institution
Provider Business Practice Location Address Details
Address
3879 Hodges Dairy Rd
City
Yanceyville
State
North Carolina
Zip
27379-8430
Phone Number
336-694-9994
Fax Number
336-694-1107
person
Provider Business Mailing Address Details
Address
3879 Hodges Dairy Rd
City
Yanceyville
State
North Carolina
Zip
27379-8430
Phone Number
336-694-9994
Fax Number
336-694-1107
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL017021 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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