# KIMS ASSISTED LIVING LLC

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

## Provider details

- **NPI number:** 1932817517
- **Authorized official:** KIMBERLY DALE JACOBS LPN (ADMINISTRATOR)
- **Authorized official phone:** (910) 536-2253

## Contact information

- **Practice address:** 1241 GOINS RD, PEMBROKE, NC 28372-8347
- **Practice address phone:** (910) 827-7973
- **Mailing address:** 1241 GOINS RD, PEMBROKE, NC 28372-8347
- **Mailing address phone:** (910) 827-7973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2022
- **Last updated:** 06/18/2025