Provider Demographics
NPI:1730389065
Name:HALL'S FAMILY CARE HOME
Entity type:Organization
Organization Name:HALL'S FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:FLOOD
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-358-4445
Mailing Address - Street 1:201 SOUTH MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:WINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27986
Mailing Address - Country:US
Mailing Address - Phone:252-358-4445
Mailing Address - Fax:252-358-4445
Practice Address - Street 1:201 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:WINTON
Practice Address - State:NC
Practice Address - Zip Code:27986-0405
Practice Address - Country:US
Practice Address - Phone:252-358-4445
Practice Address - Fax:252-358-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-046-006311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home