NPI | 1871700393 |
---|---|
Doing Business As | BANNER FAMILY CARE HOME |
Entity Type | Organization |
Authorized Contact | ROBERT JONES Owner 919-220-2361 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-032-066) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |