Organization
CARILLON ASSISTED LIVING OF FUQUAY-VARINA, LLC
Active
Other names
Carillon Assisted Living of Fuquay-Varina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MARK JOHNSON (CHIEF FINANCIAL OFFICER)
(919) 852-4000
Entity
Organization
Contact information
Practice address
6516 JOHNSON POND RD, FUQUAY-VARINA, NC 27526
(919) 852-4000
(919) 852-4001
Mailing address
4901 WATERS EDGE DR, SUITE 200, RALEIGH, NC 27606-2464
(919) 852-4000
(919) 852-4001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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