# B & B ASSISTED LIVING 5

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

## Provider details

- **NPI number:** 1790966232
- **Authorized official:** MISS BEVERLY MAYNOR (ADMINISTRATOR)
- **Authorized official phone:** (910) 521-7335

## Contact information

- **Practice address:** 2133 PRESTON RD, MAXTON, NC 28364-8697
- **Practice address phone:** (910) 521-7335
- **Practice address fax:** (910) 522-0655
- **Mailing address:** 2133 PRESTON RD, MAXTON, NC 28364-8697
- **Mailing address phone:** (910) 521-7335
- **Mailing address fax:** (910) 522-0655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL078096 | NC | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 06/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7804689 | — | NC |
| 05 | — | 7805029 | — | NC |
| 05 | — | 7805242 | — | NC |