Organization
RIVERS EDGE OF LUMBERTON LLC
Active
Other names
RIVERS EDGE OF LUMBERTON
Organization subpart
No
Provider details
NPI number
Authorized official
DAVANCE LOCKLEAR (OWNER)
(843) 754-5147
Entity
Organization
Contact information
Practice address
550 BAILEY RD, LUMBERTON, NC 28358-2424
(843) 754-5147
Mailing address
2603 CHERRY PLUM DR, FAYETTEVILLE, NC 28306-7443
(843) 754-5147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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