OrganizationActive
Annie L Long
NPI 1255460259 · Adult Care Home Facility · Yanceyville, NC
Provider details
- NPI number
- 1255460259
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Authorized official
- Annie Long, Owner
- License
- FCL017011 (NC)
Practice location
591 Marshall Graves Rd
Yanceyville, NC 27379-8600
Phone: (336) 694-9505
Fax: (336) 694-1107
Mailing address
Po Box 1112
Yanceyville, NC 27379-1112
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2007-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.