Provider Demographics
NPI:1578683793
Name:JUDGE FAMILY CARE
Entity Type:Organization
Organization Name:JUDGE FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEVANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-791-4862
Mailing Address - Street 1:PO BOX 3463
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-0463
Mailing Address - Country:US
Mailing Address - Phone:910-791-4860
Mailing Address - Fax:910-791-4852
Practice Address - Street 1:400 JUDGES RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3612
Practice Address - Country:US
Practice Address - Phone:910-791-4860
Practice Address - Fax:910-791-4852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility