Organization
CAREBRIDGE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN OOST (COMPTROLLER)
(540) 394-2200
Entity
Organization
Contact information
Practice address
34 MCDANIEL DR, JACKSONVILLE, NC 28546-6942
(910) 347-1300
(910) 347-2111
Mailing address
30 DEPOT ST W, CHRISTIANSBURG, VA 24073-2930
(540) 394-2200
(540) 394-2200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL067005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805173
—
NC
Enumeration date
12/11/2006
Last updated
09/05/2013
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