| NPI | 1487062311 |
|---|---|
| Doing Business As | DOUGLAS FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | CARRIE SIMONS DOUGLAS Administrator 252-287-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2024-03-06 |