Organization
PRESTWICK VILLAGE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL G BROOKS JR. (MEMBER MANAGER)
(910) 276-5950
Entity
Organization
Contact information
Practice address
1000 JOHNS RD, LAURINBURG, NC 28352-5122
(910) 276-5950
(910) 276-5935
Mailing address
1000 JOHNS RD, LAURINBURG, NC 28352-5122
(910) 276-5950
(910) 276-5935
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL083-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805336
—
NC
Enumeration date
02/12/2007
Last updated
08/22/2020
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