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Lucy Nannie Hairston
Adult Care Home Facility in Pelham, North Carolina
NPI 1972706232

Lucy Nannie Hairston is an Adult Care Home Facility based in Pelham, NC and is specialized in Adult Care Home. Lucy Nannie Hairston practices in Pelham, NC. The NPI Number for Lucy Nannie Hairston is 1972706232 and holds a License No. FCL-017-026 (North Carolina).

The current practice location address for Lucy Nannie Hairston is 3023 Chandler Mill Rd, Pelham, NC and can be reached out via phone at 336-939-7176.

Location: 3023 Chandler Mill Rd, Pelham, NC, 27311-8785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972706232
Provider Name
Lucy Nannie Hairston
Credential
Provider Entity Type
Organization
Address
3023 Chandler Mill Rd, Pelham, NC, 27311-8785
Phone Number
336-939-7176
Fax Number
Provider Enumeration Date
06/06/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803034 05 NC
institution
Provider Business Practice Location Address Details
Address
3023 Chandler Mill Rd
City
Pelham
State
North Carolina
Zip
27311-8785
Phone Number
336-939-7176
Fax Number
person
Provider Business Mailing Address Details
Address
3023 Chandler Mill Rd
City
Pelham
State
North Carolina
Zip
27311-8785
Phone Number
336-939-7176
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-017-026 (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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