Organization
PROVIDENCE CARE
Active
Other names
Hunter Hill Senior Village
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RICE REDGRAVE (ADMINISTRATOROWNER)
(252) 443-7144
Entity
Organization
Contact information
Practice address
891 NOELL LN, ROCKY MOUNT, NC 27804-1742
(252) 443-7144
(252) 443-2319
Mailing address
891 NOELL LN, ROCKY MOUNT, NC 27804-1742
(252) 443-7144
(252) 443-2319
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL064016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805571
—
NC
Enumeration date
02/02/2007
Last updated
08/22/2020
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