Organization · Type 2 NPI
Lillian Brothers Family Care Home LLC
Adult Care Home Facility · Hertford, NC
NPI number
1417229113
Active
Practice location
533 Weight Station Rd
Hertford, NC 27944-8562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | FCL-072-009 (NC) |
| Adult Care Home Facility Primary | 311ZA0620X | FCL-072-009 (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.
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About NPI 1417229113
Lillian Brothers Family Care Home LLC's National Provider Identifier is 1417229113, issued on Jan 27, 2012. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Hertford, NC. The record was last updated on Jan 27, 2012.