| Organization Name: | PAM FOGLEMAN |
| NPI Number: | 1215197835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA TALLEY FOGLEMAN (AFL PROVIDER) |
| Mailing Address: | 1205 Bethpage Dr Mebane |
| State: | NC US |
| Postal Code: | 273028372 |
| Phone Number: | 9193046144 |
| Fax Number: | 9193046144 |
| NPI Enumeration Date: | 06/17/2008 |
| NPI Last Update Date: | 09/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 001-128 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |