Organization
COVENTRY HOUSE OF SILER CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CRIGLER (EXECUTIVE DIRECTOR)
(919) 742-4052
Entity
Organization
Contact information
Practice address
260 VILLAGE LAKE RD, SILER CITY, NC 27344-1820
(919) 742-4052
Mailing address
260 VILLAGE LAKE RD, PO BOX 707, SILER CITY, NC 27344-1820
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-019-018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7805370
PROVIDER NUMBER
NC
Enumeration date
01/05/2007
Last updated
01/02/2008
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