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NPI Code Detail

MEDICARE: HIGHSMITH FAMILY CARE HOME, LLC

MEDICARE: HIGHSMITH FAMILY CARE HOME, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1376897132
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHSMITH FAMILY CARE HOME, LLC
Provider Business Mailing Address
First Line : 1446 SAND HILL RD
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-9566
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1446 SAND HILL RD
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-9566
Country : US
Telephone Number : 910-321-1005
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MELANIE DAVID
Credential :
Telephone Number : 910-321-1005
Provider Enumeration Date : 11/01/2012
Last Update Date : 11/01/2012

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Directions to “HIGHSMITH FAMILY CARE HOME, LLC ” Practice Location

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