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Organization
EC SOUTHERN PINES OPERATIONS, LLC
Active
Organization
EC SOUTHERN PINES OPERATIONS, LLC
Active
Other names
Elmcroft of Southern Pines
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. PATRICK MULLOY II (PRESIDENT)
(502) 753-6001
Entity
Organization
Contact information
Practice address
101 BRUCEWOOD RD, SOUTHERN PINES, NC 28387-5159
(910) 692-4928
(910) 692-0899
Mailing address
9510 ORMSBY STATION RD, LOUISVILLE, KY 40223-4081
(502) 753-6000
(502) 753-6100
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-063-020
NC
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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