Organization
CEDAR SENIOR LIVING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE A ALLEN-GUNN (OWNER)
(910) 703-3424
Entity
Organization
Contact information
Practice address
670 CEDAR LAKE LN, CLINTON, NC 28328-8986
(910) 703-3424
Mailing address
670 CEDAR LAKE LN, CLINTON, NC 28328-8986
(910) 703-3424
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A00002294
DHHSR LICENSE
NC
Enumeration date
04/15/2020
Last updated
04/15/2020
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