Organization Name: | PRATHER'S FAMILY CARE HOME |
NPI Number: | 1083898480 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY PRATHER (OWNER) |
Mailing Address: | 8572 Old Red Springs Rd Red Springs |
State: | NC US |
Postal Code: | 283779391 |
Phone Number: | 9108431174 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | FCH078011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |