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Organization
CARVER MANOR
Active
Organization
CARVER MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE O BOONE (ADMINISTRAITOR)
(252) 398-4468
Entity
Organization
Contact information
Practice address
208 WASHINGTON RD, MURFREESBORO, NC 27855-9361
(252) 398-4468
(252) 398-4468
Mailing address
208 WASHINGTON RD, MURFREESBORO, NC 27855-9361
(252) 398-4468
(252) 398-4468
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-O46-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124078878
—
VA
05
—
NPI
—
VA
Enumeration date
03/28/2007
Last updated
09/02/2008
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