Organization
ALSTON CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVEON ALSTON (OWNER)
(919) 986-6192
Entity
Organization
Contact information
Practice address
1918 CARLTON AVE, GREENSBORO, NC 27406-3209
(919) 986-6192
Mailing address
115 WINDERMERE DR UNIT 202, DURHAM, NC 27712-2853
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376040352
—
NC
Enumeration date
11/12/2018
Last updated
11/12/2018
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