Organization
NORTH BROOK REST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE DEDMON (PRESIDENT)
(704) 482-2033
Entity
Organization
Contact information
Practice address
1611 NORTHBROOK III SCHOOL RD, VALE, NC 28168-9636
(704) 276-3200
Mailing address
601 CHERRYVILLE RD, SHELBY, NC 28150-3624
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 055-004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801578
—
NC
Enumeration date
03/25/2007
Last updated
08/22/2020
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