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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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