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General NPI Number Information
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NPI Number | 1669308003
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Entity Type | Organization
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Legal Business Name | LOR-RAINE FAMILY CARE HOME, LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 2712 MORGANTON RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4951
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Country | US
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Telephone | 910-528-7921
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Fax |
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Provider Business Mailing Address
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Address Line | 854 LONG IRON DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-8708
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Country | US
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Telephone | 910-528-7921
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Fax | 910-528-7921
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. TIJUANA DELROYA WHITE
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Credential |
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Telephone | 910-528-7921
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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 |
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License Number State |
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