Organization
GRANDVIEW VILLA ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIE JEANETTE HARTLEY (MEMBER-MANAGER)
(828) 757-0136
Entity
Organization
Contact information
Practice address
2544 GRANDVIEW CIR SW, LENOIR, NC 28645-9638
(828) 757-0136
(828) 757-0213
Mailing address
2544 GRANDVIEW CIR SW, LENOIR, NC 28645-9638
(828) 757-0136
(828) 757-0213
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-014-015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805628
—
NC
Enumeration date
01/11/2007
Last updated
08/22/2020
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