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Organization
FAIR HAVEN OF FOREST CITY LLC
Active
Organization
FAIR HAVEN OF FOREST CITY LLC
Active
Other names
FAIR HAVEN OF FOREST CITY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J CILONE (CFO)
(828) 245-9095
Entity
Organization
Contact information
Practice address
830 BETHANY CHURCH RD, FOREST CITY, NC 28043-8106
(828) 245-2852
(828) 248-2590
Mailing address
149 FAIRHAVEN DR, BOSTIC, NC 28018-8759
(828) 245-9095
(828) 245-7856
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0474
NC
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
05/21/2014
Last updated
01/14/2016
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