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Jamie R. Kirby
Adult Care Home Facility in Connellys Springs, North Carolina
NPI 1235341728

Jamie R. Kirby is an Adult Care Home Facility based in Connellys Springs, NC and is specialized in Adult Care Home. Jamie R. Kirby practices in Connellys Springs, NC. The NPI Number for Jamie R. Kirby is 1235341728 and holds a License No. FCL012033 (North Carolina).

The current practice location address for Jamie R. Kirby is 3208 Tex's Fish Camp Road, Connellys Springs, NC and can be reached out via phone at 828-397-6090.

Location: 3208 Tex's Fish Camp Road, Connellys Springs, NC, 28612-7633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235341728
Provider Name
Jamie R. Kirby
Credential
Provider Entity Type
Organization
Address
3208 Tex's Fish Camp Road, Connellys Springs, NC, 28612-7633
Phone Number
828-397-6090
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7806180 01 NC MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3208 Tex's Fish Camp Road
City
Connellys Springs
State
North Carolina
Zip
28612-7633
Phone Number
828-397-6090
Fax Number
person
Provider Business Mailing Address Details
Address
3208 Tex's Fish Camp Road
City
Connellys Springs
State
North Carolina
Zip
28612-7633
Phone Number
828-397-6090
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL012033 (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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