Organization
FIRST ASSEMBLY LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAZEL MCCLURE ROBINSON (PCS COORDINATOR)
(704) 793-4760
Entity
Organization
Contact information
Practice address
160 WARREN C COLEMAN BLVD N, CONCORD, NC 28027-6786
(704) 793-4760
(704) 793-4764
Mailing address
160 WARREN C COLEMAN BLVD N, CONCORD, NC 28027-6786
(704) 793-4760
(704) 793-4764
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-013-000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801009
—
NC
Enumeration date
01/30/2007
Last updated
08/22/2020
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