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Organization
BLAIR ASSISTED LIVING INC
Active
Organization
BLAIR ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLITA MOUJAHED (OWNER)
(910) 318-9667
Entity
Organization
Contact information
Practice address
301 MCLAURIN AVE, LAURINBURG, NC 28352-3621
(910) 318-9667
(910) 276-9223
Mailing address
PO BOX 2342, LAURINBURG, NC 28353-2342
(910) 318-9667
(910) 276-9223
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-083-010
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805184
—
NC
Enumeration date
02/05/2007
Last updated
08/22/2020
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