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Organization

MONARCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY B JONES (CFO)
(704) 986-1522
Entity
Organization

Contact information

Practice address
901 BERKSHIRE RD, SMITHFIELD, NC 27577-4750
(910) 934-7720
Mailing address
350 PEE DEE AVE, SUITE 101, ALBEMARLE, NC 28001-4932
(704) 986-1522
(704) 982-5279

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
310400000X
Assisted Living Facility
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
06/12/2013
Last updated
07/26/2013
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