Organization · Type 2 NPI

Annie L Long

Adult Care Home Facility · Yanceyville, NC

NPI number 1710016951 Active

Practice location

1654 Allison Rd
Yanceyville, NC 27379-8430

Call (336) 694-9992 Map

Fax (336) 694-1107

Mailing address

PO Box 1112
Yanceyville, NC 27379-1112

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XFCL017019 (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 1710016951

Annie L Long's National Provider Identifier is 1710016951, issued on Mar 5, 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.