Organization
YANCEY REST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA DURHAM ISLEY ADMINISTRATOR (VICE PRESIDENT)
(919) 732-3551
Entity
Organization
Contact information
Practice address
401 N CHURTON ST, HILLSBOROUGH, NC 27278-2126
(919) 732-3551
(919) 732-3551
Mailing address
401 N CHURTON ST, PO BOX 729, HILLSBOROUGH, NC 27278-2126
(919) 732-3551
(919) 732-3551
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL068005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803475
—
NC
Enumeration date
01/02/2007
Last updated
08/22/2020
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