| Family Home Life, Inc | |
|
544 Julian R Allsbrook Hwy Roanoke Rapids NC 27870-4611 | |
| (252) 533-9200 | |
| (252) 537-7458 |
| Full Name | Family Home Life, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 544 Julian R Allsbrook Hwy, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Deborah Gray Tanner (DIRECTOR) |
| Authorized Official Contact | 2525339200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Home Life, Inc Po Box 66 Roanoke Rapids NC 27870-0066 Ph: (252) 533-9200 | Family Home Life, Inc 544 Julian R Allsbrook Hwy Roanoke Rapids NC 27870-4611 Ph: (252) 533-9200 |
| NPI Number | 1770777096 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770777096 | NPI | - | NPPES |
| 8300261Q | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-042-042 (North Carolina) | Primary |
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