| NPI | 1245891092 |
|---|---|
| Doing Business As | ANTHONY AND ARONDERLY RUCKER FAMILY CARE HOME #1 |
| Entity Type | Organization |
| Authorized Contact | GEORGE ANTHONY RUCKER Administrator/Owner 336-613-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-07-15 |