# THE CARDINAL ASSISTED LIVING LLC

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

## Provider details

- **NPI number:** 1710805445
- **Authorized official:** AKWIASDI REVELS (OWNER)
- **Authorized official phone:** (704) 682-7197

## Contact information

- **Practice address:** 249 BRAYDEN DR, ADVANCE, NC 27006-8013
- **Practice address phone:** (704) 682-7197
- **Mailing address:** 500 JOHNSON RIDGE RD, ELKIN, NC 28621-2420
- **Mailing address phone:** (336) 835-6672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | Yes |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2026
- **Last updated:** 07/16/2026