# EMERALD COVE ASSISTED LIVING, LLC

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

## Provider details

- **NPI number:** 1508524869
- **Authorized official:** BRADLEY D BRADY (OWNER)
- **Authorized official phone:** (828) 308-3533

## Contact information

- **Practice address:** 2060 W 5TH ST, GREENVILLE, NC 27834-9160
- **Practice address phone:** (252) 522-5783
- **Mailing address:** 2130 ROSE VISTA RD, KINSTON, NC 28504-8230
- **Mailing address phone:** (252) 522-5783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2021
- **Last updated:** 12/03/2021