Beverly Rucker Family Care Home #1
Assisted Living Facility in Reidsville, NC. Organization (NPI-2).
NPI number1992829469
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992829469
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Rucker Family Care Home #1
- Organization subpart
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
1123 Crutchfield RdReidsville, NC 27320-8954
Phone 336-613-1552 · Fax 336-349-2873
Mailing address
1123 Crutchfield RdReidsville, NC 27320-8954
Phone 336-613-1552 · Fax 336-349-2873
Authorized official
Beverly Lawson Rucker
Administrator
3366131552
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