Organization
ROUSES GROUP HOME INC
Active
Other names
Cedar Place
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA R ROUSE (CHIEF EXECUTIVE OFFICER)
(336) 427-0609
Entity
Organization
Contact information
Practice address
1103 CENTER CHURCH RD, EDEN, NC 27288-5523
(336) 623-8111
(336) 427-2929
Mailing address
PO BOX 16, STONEVILLE, NC 27048-0016
(336) 427-2562
(336) 427-2978
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
079-053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340611X
—
NC
Enumeration date
09/10/2015
Last updated
09/10/2015
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