Organization
MONROE MANOR ASSISTED LIVING II INC
Active
Organization
MONROE MANOR ASSISTED LIVING II INC
Active
Other names
Monroe Manor Assisted Living II inc
Organization subpart
No
Provider details
NPI number
Authorized official
IVEY THOMPSON NP (CEO)
(843) 672-4019
Entity
Organization
Contact information
Practice address
1101 BAUCOM RD, MONROE, NC 28110-7584
(843) 672-4019
(704) 270-6138
Mailing address
1101 BAUCOM RD, MONROE, NC 28110-7584
(843) 672-4019
(704) 270-6138
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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