Provider Demographics
NPI:1154607026
Name:BARNES FAMILY CARE HOME .INC
Entity type:Organization
Organization Name:BARNES FAMILY CARE HOME .INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-286-6803
Mailing Address - Street 1:PO BOX 2503
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28502-2503
Mailing Address - Country:US
Mailing Address - Phone:252-522-0404
Mailing Address - Fax:252-208-2004
Practice Address - Street 1:100 PERKINS ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-9335
Practice Address - Country:US
Practice Address - Phone:252-286-6803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility