Healthcare Provider Details

I. General information

NPI: 1366351280
Provider Name (Legal Business Name): DFAL FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 OVERHILL DR
MONROE NC
28110-7812
US

IV. Provider business mailing address

2015 OVERHILL DR
MONROE NC
28110-7812
US

V. Phone/Fax

Practice location:
  • Phone: 516-800-6821
  • Fax:
Mailing address:
  • Phone: 516-800-6821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DONIA SANON
Title or Position: ADMINISTRATOR
Credential:
Phone: 516-800-6821