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General NPI Number Information
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NPI Number | 1497979462
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Entity Type | Organization
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Legal Business Name | MORNING GLORY FAMILY CARE, INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 112 S CHURCH ST
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City | EUREKA
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State | NC
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Zip | 27830-9279
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Country | US
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Telephone | 919-242-4359
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Fax | 919-242-3712
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Provider Business Mailing Address
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Address Line | 112 S CHURCH ST
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City | EUREKA
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State | NC
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Zip | 27830-9279
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Country | US
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Telephone |
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Fax | 919-242-3712
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Authorized Official
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Title or Position | CO-OWNER
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Name | SHIRLEY HOBBS
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Credential |
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Telephone | 919-242-4359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | FCL-096-015
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License Number State | NC
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