Organization
PLEASANT GROVE RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCCORMICK (GENERAL PARTNER)
(336) 578-0441
Entity
Organization
Contact information
Practice address
4516 HWY 49 NORTH, BURLINGTON, NC 27217-7818
(336) 578-0441
(336) 578-4787
Mailing address
4516 N NC 49, BURLINGTON, NC 27217-7818
(336) 578-0441
(336) 578-4787
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-001-008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801976
—
NC
Enumeration date
05/23/2007
Last updated
08/22/2020
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