Organization
G & M ASSOCIATES INC
Active
Other names
Carolina Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE M WILSON (ADMINISTRATOR)
(828) 754-6106
Entity
Organization
Contact information
Practice address
229 WILSON ST NW, LENOIR, NC 28645-4336
(828) 754-6106
(828) 758-0539
Mailing address
PO BOX 487, LENOIR, NC 28645-0487
(828) 754-6106
(828) 758-0539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-014002
NC
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7801230
MEDICAID PROVIDER NUMBER
NC
Enumeration date
02/09/2007
Last updated
05/14/2013
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