Organization
VALLEY PINES ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEDARIN KENARDO ROBINSON (ADMINISTRATOR)
(910) 484-4429
Entity
Organization
Contact information
Practice address
2521 MURIEL DR, FAYETTEVILLE, NC 28306-3213
(910) 484-4429
Mailing address
PO BOX 35534, FAYETTEVILLE, NC 28303-0534
(910) 484-4429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-026-052
NC
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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