Organization · Type 2 NPI

Annie L Long

Adult Care Home Facility · Yanceyville, NC

NPI number 1154450591 Active

Practice location

3879 Hodges Dairy Rd
Yanceyville, NC 27379-8430

Call (336) 694-9994 Map

Fax (336) 694-1107

Mailing address

PO Box 1112
Yanceyville, NC 27379-1112

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	FCL017021 (NC)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2 other providers at this address

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About NPI 1154450591

Annie L Long's National Provider Identifier is 1154450591, issued on Mar 3, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Yanceyville, NC. The record was last updated on Aug 17, 2007.