Individual provider · Type 1 NPI

Michael Andre Nustar

Adult Care Home Facility · Louisburg, NC

NPI number 1891534541 Active

Practice location

108 Medicine Cove
Louisburg, NC 27549

Mailing address

1033 Lake Royale
Louisburg, NC 27549-7028

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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 1891534541

Michael Andre Nustar's National Provider Identifier is 1891534541, issued on May 22, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Louisburg, NC. The record was last updated on May 22, 2024.