Organization
WEST BLADEN ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY ADAMS (MEMBER)
(910) 256-5989
Entity
Organization
Contact information
Practice address
714 BLADEN STREET, BLADENBORO, NC 28320
(910) 863-4500
(910) 863-3142
Mailing address
714 BLADEN STREET, BLADENBORO, NC 28320
(910) 863-4500
(910) 863-3142
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-009-025
NC
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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