Provider Demographics
NPI:1972788453
Name:WALKER FAMILY CARE HOME
Entity Type:Organization
Organization Name:WALKER FAMILY CARE HOME
Other - Org Name:TAYLOR FAMILY CARE HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:828-437-2512
Mailing Address - Street 1:361 SETTLEMYRE RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8922
Mailing Address - Country:US
Mailing Address - Phone:828-437-2512
Mailing Address - Fax:828-439-8524
Practice Address - Street 1:361 SETTLEMYRE RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8922
Practice Address - Country:US
Practice Address - Phone:828-437-2512
Practice Address - Fax:828-439-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL -012-028261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care