Organization
SOUTHERN LIVING ASSISTED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEAGAN M RODERICK (OWNER)
(910) 612-5092
Entity
Organization
Contact information
Practice address
2060 W 5TH ST, GREENVILLE, NC 27834-9160
(252) 752-3402
(252) 754-2367
Mailing address
PO BOX 7386, GREENVILLE, NC 27835-7386
(252) 752-3402
(252) 754-2367
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-074-038
NC
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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