# CARVER MANOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356460406
- **Authorized official:** WILLIE O BOONE (ADMINISTRAITOR)
- **Authorized official phone:** (252) 398-4468

## Contact information

- **Practice address:** 208 WASHINGTON RD, MURFREESBORO, NC 27855-9361
- **Practice address phone:** (252) 398-4468
- **Practice address fax:** (252) 398-4468
- **Mailing address:** 208 WASHINGTON RD, MURFREESBORO, NC 27855-9361
- **Mailing address phone:** (252) 398-4468
- **Mailing address fax:** (252) 398-4468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-O46-002 | NC | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 09/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1124078878 | — | VA |
| 05 | — | NPI | — | VA |