| Organization Name: | HUMBLE BEGINNINGS FCH |
| NPI Number: | 1639534704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA MILLER (OWNER) |
| Mailing Address: | 803 Linda Ln Burgaw |
| State: | NC US |
| Postal Code: | 284255073 |
| Phone Number: | 9106639148 |
| Fax Number: | 9106639004 |
| NPI Enumeration Date: | 12/16/2015 |
| NPI Last Update Date: | 12/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | FCL-071-016 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |