| NPI | 1891311148 |
|---|---|
| Former Legal Business Name | HEBRON FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | TAMMY TATE Administrator 828-216-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |