Organization
KINSTON ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH C BURRELL (PARTNER)
(803) 230-1555
Entity
Organization
Contact information
Practice address
2130 ROSE VISTA DR, KINSTON, NC 28504-8230
(252) 522-5783
(252) 526-9867
Mailing address
PO BOX 1027, KINSTON, NC 28503-1027
(252) 522-5783
(252) 526-9867
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL054049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805507
—
NC
Enumeration date
01/29/2007
Last updated
06/21/2008
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