Organization
OMEGA INVESTMENTS INC
Active
Other names
Heritage Place Adult Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK E NIKOUYEH ADMINISTRATOR (ADMINISTATOR)
(336) 209-4000
Entity
Organization
Contact information
Practice address
1372 EUFOLA RD, STATESVILLE, NC 28677
(704) 528-4568
(704) 528-9844
Mailing address
284 N EMILY CT, HIGH POINT, NC 27265
(336) 869-7907
(336) 869-4090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-049-003
NC
310400000X
Assisted Living Facility
Primary
HAL049003NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802156
—
NC
05
—
780216
—
NC
Enumeration date
12/06/2006
Last updated
07/14/2008
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