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Beverly Rucker Family Care Home #4

Assisted Living Facility in Reidsville, NC. Organization (NPI-2).

NPI number1477683084
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1477683084
Entity type
Organization (NPI-2)
Legal business name
Beverly Rucker Family Care Home #4
Organization subpart
No
Enumeration date
Mar 6, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

723 Frank Rd
Reidsville, NC 27320-8699

Phone 336-613-1552 · Fax 336-349-2873

Mailing address

1123 Crutchfield Rd
Reidsville, NC 27320-8954

Phone 336-613-1552 · Fax 336-349-2873

Authorized official

Beverly Lawson Rucker
Administrator
3366131552

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