Organization · Type 2 NPI
Grantham Family Care Home 2
Health Service Clinic/Center · Goldsboro, NC
NPI number
1235314774
Active
Practice location
107 N Georgia Ave
Goldsboro, NC 27530-3531
Mailing address
301 S John St
Goldsboro, NC 27530-3531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | FCL096009 (NC) |
Health Service Clinic/Center: Definition to come...
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About NPI 1235314774
Grantham Family Care Home 2's National Provider Identifier is 1235314774, issued on Jan 3, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Goldsboro, NC. The record was last updated on Jun 26, 2008.