# LOUISBURG SENIOR VILLAGE

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

## Provider details

- **NPI number:** 1578601365
- **Authorized official:** MRS. GAIL DIANNE TITUES'JONES (PRESIDENT)
- **Authorized official phone:** (919) 496-1611

## Contact information

- **Practice address:** 1233 HWY 56 EAST, LOUISBURG, NC 27549
- **Practice address phone:** (919) 496-1611
- **Practice address fax:** (919) 496-3714
- **Mailing address:** 1233 HWY 56 EAST, LOUISBURG, NC 27549
- **Mailing address phone:** (919) 496-1611
- **Mailing address fax:** (919) 496-3714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL035011 | NC | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 09/01/2011