Organization
ALAMANCE MANOR ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LEE DICKERSON (CEO)
(336) 993-7555
Entity
Organization
Contact information
Practice address
1999 SOUTH HIGHWAY 150, MEBANE, NC 27302
(336) 993-7555
Mailing address
853 OLD WINSTON RD, SUITE 118, KERNERSVILLE, NC 27284-7143
(336) 993-7555
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL001156
NC
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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