Organization
BOGER CITY REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L NIXON (ADMINISTRATOR)
(704) 732-2220
Entity
Organization
Contact information
Practice address
1428 LITTLE VALLEY LANE, LINCOLNTON, NC 28093-0755
(704) 732-2220
Mailing address
PO BOX 755, LINCOLNTON, NC 28093-0755
(704) 732-2220
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-055-002
NC
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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