Organization
LAKE JAMES LODGE ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G CRUMMIE (PRES/CEO/ ADMINISTRATOR)
(828) 676-9063
Entity
Organization
Contact information
Practice address
63 LAKEVIEW DR N, MARION, NC 28752-8896
(828) 652-3038
Mailing address
PO BOX 999, MOUNTAIN HOME, NC 28758-0999
(828) 652-3038
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 059032
NC
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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