# EARL ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creekside Villas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477985893
- **Authorized official:** JACI REYNOLDS (BUSINESS MANAGER)
- **Authorized official phone:** (828) 456-8365

## Contact information

- **Practice address:** 465 BOYD AVE, WAYNESVILLE, NC 28786-4317
- **Practice address phone:** (828) 456-9240
- **Practice address fax:** (828) 456-9012
- **Mailing address:** 251 SHELTON ST, WAYNESVILLE, NC 28786-3362
- **Mailing address phone:** (828) 456-8365
- **Mailing address fax:** (828) 597-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL-044-044 | NC | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 08/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HAL-044-044 | NC DHHS LICENSE: | NC |