Organization
ATWATER REST HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE DANIEL (MANAGER)
(919) 362-6266
Entity
Organization
Contact information
Practice address
312 LYNCH ST, APEX, NC 27502-2028
(919) 362-6266
(919) 362-6298
Mailing address
PO BOX 942, 312 LYNCH ST., APEX, NC 27502-0942
(919) 362-6266
(919) 362-6298
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-092-122
NC
Other
Enumeration date
03/06/2007
Last updated
05/21/2008
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