Organization
B & J REST VILLA
Active
Other names
DBA Wayne County Rest Villa I
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE BEST (OWNER)
(252) 315-1140
Entity
Organization
Contact information
Practice address
305 SOUTH VANCE STREET, FREMONT, NC 27830
(919) 242-6161
Mailing address
PO BOX 295, FREMONT, NC 27830-0295
(919) 242-6161
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 096 004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804062
—
NC
Enumeration date
02/15/2007
Last updated
08/22/2020
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