Organization
RAVEICA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RAVEICA (OWNER)
(828) 320-9392
Entity
Organization
Contact information
Practice address
5276 OLDE SCHOOL DR, HICKORY, NC 28602
(828) 294-3894
Mailing address
5276 OLDE SCHOOL DR, HICKORY, NC 28602
(828) 294-3894
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-018-022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805340
—
NC
Enumeration date
03/31/2007
Last updated
08/08/2008
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