Organization
KINGS MOUNTAIN MEMORY CARE CENTER
Active
Other names
KINGS MOUNTAIN MEMORY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ODEGUA ADELEKUN RN, MBA (PRESIDENT)
(704) 718-2327
Entity
Organization
Contact information
Practice address
115 FERGUSON DR, KINGS MOUNTAIN, NC 28086-9727
(704) 739-5929
(704) 739-1103
Mailing address
PO BOX 1873, KINGS MOUNTAIN, NC 28086-1873
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801288
—
NC
Enumeration date
05/04/2009
Last updated
09/04/2024
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