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1790126126
LAWANDA RAY
BURLINGTON, NC
NPI
1790126126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: NC HAL-001-149)
Enumeration Date
2013-07-14
Last Update Date
2013-07-14
Business Address
LAWANDA RAY
625 LANE ST
BURLINGTON, NC 27217-2473
Phone number: 336-229-9900
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Mailing Address
LAWANDA RAY
PO BOX 4094
BURLINGTON, NC 27215-0901
Phone number: 336-421-0435
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