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Shomari Family Care Home
Adult Care Home Facility in Yanceyville, North Carolina
NPI 1700079357

Shomari Family Care Home is an Adult Care Home Facility based in Yanceyville, NC and is specialized in Adult Care Home. Shomari Family Care Home practices in Yanceyville, NC. The NPI Number for Shomari Family Care Home is 1700079357 and holds a License No. FCL-017-021 (North Carolina).

The current practice location address for Shomari Family Care Home is 3879 Hodges Dairy Rd, Yanceyville, NC and can be reached out via phone at 336-694-9994.

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
1700079357
Provider Name
Shomari Family Care Home
Credential
Provider Entity Type
Organization
Address
3879 Hodges Dairy Rd, Yanceyville, NC, 27379-1112
Phone Number
336-694-9994
Fax Number
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
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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
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
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL-017-021 (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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