Organization
PEN-DU REST HOME
Active
Other names
Home for the Aged
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEVOISE BOND ENGLISH (ADMINISTRATOR)
(910) 259-4469
Entity
Organization
Contact information
Practice address
685 NC HIGHWAY 50, WALLACE, NC 28466-9316
(910) 259-4469
(910) 259-3844
Mailing address
685 NC HIGHWAY 50, WALLACE, NC 28466-9316
(910) 259-4469
(910) 259-3844
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-071-001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802025
—
NC
Enumeration date
03/14/2007
Last updated
06/27/2008
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