# PEN-DU REST HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home for the Aged
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326171893
- **Authorized official:** MS. LEVOISE BOND ENGLISH (ADMINISTRATOR)
- **Authorized official phone:** (910) 259-4469

## Contact information

- **Practice address:** 685 NC HIGHWAY 50, WALLACE, NC 28466-9316
- **Practice address phone:** (910) 259-4469
- **Practice address fax:** (910) 259-3844
- **Mailing address:** 685 NC HIGHWAY 50, WALLACE, NC 28466-9316
- **Mailing address phone:** (910) 259-4469
- **Mailing address fax:** (910) 259-3844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL-071-001 | NC | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7802025 | — | NC |