Organization
ANN DAVIS REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY S RATHBONE (ADMINISTRATOR OWNER)
(828) 648-3790
Entity
Organization
Contact information
Practice address
460 BEAVERDAM ST, CANTON, NC 28716
(828) 648-3790
(828) 646-9956
Mailing address
460 BEAVERDAM ST, CANTON, NC 28716
(828) 648-3790
(828) 646-9956
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL044008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801941
—
NC
Enumeration date
05/21/2008
Last updated
05/21/2008
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