Organization
SANDY RIDGE HOMES HOLDING CORP
Active
Other names
Sandy Ridge Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H LOWA MS (ADMINISTRATOR)
(910) 974-4162
Entity
Organization
Contact information
Practice address
326 BOWMAN RD, CANDOR, NC 27229-9682
(910) 974-4162
(910) 974-6038
Mailing address
326 BOWMAN RD, CANDOR, NC 27229-9682
(910) 974-4162
(910) 974-6038
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
HAL-062-009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804197
—
NC
Enumeration date
01/24/2007
Last updated
08/22/2020
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