# EC SOUTHERN PINES OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elmcroft of Southern Pines
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801065933
- **Authorized official:** MR. W. PATRICK MULLOY II (PRESIDENT)
- **Authorized official phone:** (502) 753-6001

## Contact information

- **Practice address:** 101 BRUCEWOOD RD, SOUTHERN PINES, NC 28387-5159
- **Practice address phone:** (910) 692-4928
- **Practice address fax:** (910) 692-0899
- **Mailing address:** 9510 ORMSBY STATION RD, LOUISVILLE, KY 40223-4081
- **Mailing address phone:** (502) 753-6000
- **Mailing address fax:** (502) 753-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL-063-020 | NC | Yes |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 02/22/2008