Organization
CHERRY GROVE RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ABBOTT PEAY LPN (ADMINISTRATOR)
(336) 342-4395
Entity
Organization
Contact information
Practice address
596 NEAL RD, REIDSVILLE, NC 27320-0333
(336) 342-4395
(336) 342-2906
Mailing address
596 NEAL RD, REIDSVILLE, NC 27320-0333
(336) 342-4395
(336) 342-2906
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-017-046
NC
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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