Healthcare Provider Details

I. General information

NPI: 1346431715
Provider Name (Legal Business Name): L AND N FAMILY CARE HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 06/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 GRASSY KNOB RD
ANDREWS NC
28901-9222
US

IV. Provider business mailing address

142 GRASSY KNOB RD
ANDREWS NC
28901-9222
US

V. Phone/Fax

Practice location:
  • Phone: 828-321-5898
  • Fax: 828-321-0608
Mailing address:
  • Phone: 828-321-5898
  • Fax: 828-321-0608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-020-011
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA M STANLEY
Title or Position: OWNER AND ADMINISTRATOR
Credential:
Phone: 828-321-5898