Provider Demographics
NPI:1437278223
Name:SEAWELLS FAMILY CARE
Entity Type:Organization
Organization Name:SEAWELLS FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELE
Authorized Official - Middle Name:WEAVER
Authorized Official - Last Name:SEAWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-275-2822
Mailing Address - Street 1:407 MUNSTER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-6713
Mailing Address - Country:US
Mailing Address - Phone:336-275-2822
Mailing Address - Fax:336-335-9933
Practice Address - Street 1:407 MUNSTER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-6713
Practice Address - Country:US
Practice Address - Phone:336-275-2822
Practice Address - Fax:336-335-9933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility