# GARRISON MANOR, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790024529
- **Authorized official:** MARKITA GARRISON (ADMINISTRATOR)
- **Authorized official phone:** (252) 360-9806

## Contact information

- **Practice address:** 1414 SPRINGFIELD RD, ROCKY MOUNT, NC 27801-3723
- **Practice address phone:** (252) 360-9806
- **Practice address fax:** (252) 210-2967
- **Mailing address:** 1414 SPRINGFIELD RD, ROCKY MOUNT, NC 27801-3723
- **Mailing address phone:** (252) 360-9806
- **Mailing address fax:** (252) 210-2967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL 033-008 | NC | Yes |

## Other

- **Enumeration date:** 02/14/2013
- **Last updated:** 02/14/2013