Organization
RIVERS EDGE OF LUMBERTON LLC
Active
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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