Organization
WALNUT RIDGE ASSISTD LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN HICKS (EXECUTIVE DIRECTOR)
(336) 591-7790
Entity
Organization
Contact information
Practice address
411 WINDMILL ST, WALNUT COVE, NC 27052-7705
(336) 591-7790
Mailing address
411 WINDMILL ST, WALNUT COVE, NC 27052-7705
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 085 005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803627
—
NC
Enumeration date
03/09/2007
Last updated
08/22/2020
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