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Mae Corbett Connally
Adult Care Home Facility in Milton, North Carolina
NPI 1891815593

Mae Corbett Connally is an Adult Care Home Facility based in Roxboro, NC and is specialized in Adult Care Home. Mae Corbett Connally practices in Milton, NC. The NPI Number for Mae Corbett Connally is 1891815593 and holds a License No. FCL017003 (North Carolina).

The current practice location address for Mae Corbett Connally is 362 Hudson Rd, Milton, NC and can be reached out via phone at 336-234-7502.

Location: 362 Hudson Rd, Milton, NC, 27573-5343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891815593
Provider Name
Mae Corbett Connally
Credential
Provider Entity Type
Organization
Address
362 Hudson Rd, Milton, NC, 27573-5343
Phone Number
336-234-7502
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7802646 05 NC
institution
Provider Business Practice Location Address Details
Address
362 Hudson Rd
City
Milton
State
North Carolina
Zip
27305-9680
Phone Number
336-234-7502
Fax Number
person
Provider Business Mailing Address Details
Address
362 Hudson Rd
City
Milton
State
North Carolina
Zip
27305-9680
Phone Number
336-234-7502
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.
FCL017003 (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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