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Organization
FOUR OAKS ASSISTED LIVING
Active
Organization
FOUR OAKS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA C. WILLIAMS (CO-OWNER)
(910) 285-5352
Entity
Organization
Contact information
Practice address
565 BOYETTE RD., FOUR OAKS, NC 27524
(910) 285-5352
Mailing address
PO BOX 160, FOUR OAKS, NC 27524-0160
(910) 285-5352
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL 051-026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805537
—
NC
Enumeration date
04/19/2007
Last updated
06/19/2008
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