# TAR RIVER LTC GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Open Fields Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770529141
- **Authorized official:** MRS. KAREN G MCDANIEL (PRESIDENT)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 3210 WESTERN BLVD, TARBORO, NC 27886-1828
- **Practice address phone:** (252) 823-8546
- **Practice address fax:** (252) 823-3878
- **Mailing address:** 3210 WESTERN BLVD, TARBORO, NC 27886-1828
- **Mailing address phone:** (252) 823-8546
- **Mailing address fax:** (252) 823-3878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL033001 | NC | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 04/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7806623 | — | NC |