Healthcare Provider Details

I. General information

NPI: 1922131069
Provider Name (Legal Business Name): DELLINGER FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 OSCAR JUSTICE RD
RUTHERFORDTON NC
28139-8114
US

IV. Provider business mailing address

521 OSCAR JUSTICE RD
RUTHERFORDTON NC
28139-8114
US

V. Phone/Fax

Practice location:
  • Phone: 828-287-7353
  • Fax: 828-288-7350
Mailing address:
  • Phone: 828-287-7353
  • Fax: 828-288-7350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: KENNETH DELLINGER
Title or Position: OWNER
Credential:
Phone: 828-287-7353