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Vicky D Connally
Adult Care Home Facility in Milton, North Carolina
NPI 1568781219

Vicky D Connally is an Adult Care Home Facility based in Roxboro, NC and is specialized in Adult Care Home. Vicky D Connally practices in Milton, NC. The NPI Number for Vicky D Connally is 1568781219 and holds a License No. FCL017051 (North Carolina).

The current practice location address for Vicky D Connally is 382 Hudson Rd, Milton, NC and can be reached out via phone at 336-234-8592 and via fax at 336-234-0037.

Location: 382 Hudson Rd, Milton, NC, 27573-5343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568781219
Provider Name
Vicky D Connally
Credential
Provider Entity Type
Organization
Address
382 Hudson Rd, Milton, NC, 27573-5343
Phone Number
336-234-8592
Fax Number
336-234-0037
Provider Enumeration Date
05/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7802647 05 NC
institution
Provider Business Practice Location Address Details
Address
382 Hudson Rd
City
Milton
State
North Carolina
Zip
27305-9680
Phone Number
336-234-8592
Fax Number
336-234-0037
person
Provider Business Mailing Address Details
Address
382 Hudson Rd
City
Milton
State
North Carolina
Zip
27305-9680
Phone Number
336-234-8592
Fax Number
336-234-0037
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL017051 (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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