Organization
MOYERS ASSISTED LIVING COMPASSIONATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COKY A KERNODLE ADMINISTRATOR (OWNER/ADMINISTRATOR)
(336) 327-9438
Entity
Organization
Contact information
Practice address
5767 NC HIGHWAY 135, STONEVILLE, NC 27048-8477
(336) 445-4004
(336) 445-0148
Mailing address
5767 NC HIGHWAY 135, STONEVILLE, NC 27048-8477
(336) 445-4004
(336) 445-0148
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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