Organization
Z & M RESIDENTIAL VILLA 1
Active
Other names
Z & M
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MACK (DIRECTOR)
(919) 527-4856
Entity
Organization
Contact information
Practice address
10298 PASTURE RD, MIDDLESEX, NC 27557-7200
(919) 527-4856
Mailing address
10298 PASTURE RD, MIDDLESEX, NC 27557-7200
(919) 527-4856
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL064026
NC
320700000X
Physical Disabilities Residential Treatment Facility
FCL064026
NC
Other
Enumeration date
09/26/2014
Last updated
01/06/2015
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