Organization
TRINITY MANOR OF KINSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C. BOONE (OWNER)
(252) 527-0438
Entity
Organization
Contact information
Practice address
1406 E SHINE ST, KINSTON, NC 28501-5836
(252) 527-0438
Mailing address
1406 E SHINE ST, KINSTON, NC 28501-5836
(252) 527-0438
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HAL054003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801483
—
NC
Enumeration date
12/20/2007
Last updated
12/20/2007
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