Organization
KELLERS NURSING HOME INC
Active
Other names
Kellers Oakhaven Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KELLER KELLY RN (PRESIDENT)
(919) 775-1853
Entity
Organization
Contact information
Practice address
700 WESTOVER DR, SANFORD, NC 27331-0640
(919) 775-1853
(919) 774-6482
Mailing address
PO BOX 640, SANFORD, NC 27331-0640
(919) 775-1853
(919) 774-6482
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-053-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802473
—
NC
Enumeration date
08/22/2006
Last updated
08/22/2020
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