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Jefferson Family Care Home #4
Adult Care Home Facility in Yanceyville, North Carolina
NPI 1841319746

Jefferson Family Care Home #4 is an Adult Care Home Facility based in Yanceyville, NC and is specialized in Adult Care Home. Jefferson Family Care Home #4 practices in Yanceyville, NC. The NPI Number for Jefferson Family Care Home #4 is 1841319746 and holds a License No. (North Carolina).

The current practice location address for Jefferson Family Care Home #4 is 181 Staley Boswell Rd, Yanceyville, NC and can be reached out via phone at 336-421-9468 and via fax at 336-421-5726.

Location: 181 Staley Boswell Rd, Yanceyville, NC, 27379-8386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841319746
Provider Name
Jefferson Family Care Home #4
Credential
Provider Entity Type
Organization
Address
181 Staley Boswell Rd, Yanceyville, NC, 27379-8386
Phone Number
336-421-9468
Fax Number
336-421-5726
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7802011 05 NC
institution
Provider Business Practice Location Address Details
Address
181 Staley Boswell Rd
City
Yanceyville
State
North Carolina
Zip
27379-8386
Phone Number
336-421-9468
Fax Number
336-421-5726
person
Provider Business Mailing Address Details
Address
181 Staley Boswell Rd
City
Yanceyville
State
North Carolina
Zip
27379-8386
Phone Number
336-421-9468
Fax Number
336-421-5726
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(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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