Organization
HERTFORD MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BLOUNT (OWNER)
(252) 402-5317
Entity
Organization
Contact information
Practice address
464 TWO MILE DESERT RD, HERTFORD, NC 27944-8686
(252) 402-5317
Mailing address
1220 PAMLICO ST, WASHINGTON, NC 27889-3821
(252) 402-5317
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL072012
NC
Other
Enumeration date
09/03/2014
Last updated
09/04/2014
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