Provider Demographics
NPI:1669685475
Name:LIGGINS HAMILY CARE INC
Entity Type:Organization
Organization Name:LIGGINS HAMILY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:T
Authorized Official - Last Name:LIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-275-7328
Mailing Address - Street 1:5231 HOPKINS RD
Mailing Address - Street 2:
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9448
Mailing Address - Country:US
Mailing Address - Phone:336-275-7328
Mailing Address - Fax:336-272-6359
Practice Address - Street 1:5231 HOPKINS RD
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214-9448
Practice Address - Country:US
Practice Address - Phone:336-275-7328
Practice Address - Fax:336-272-6359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFCL-041-030Medicare ID - Type UnspecifiedLICENSE