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Organization

SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC

Active
Other names
Southern Living for Seniors
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH SIMONS (MANAGING MEMBER)
(470) 551-2006
Entity
Organization

Contact information

Practice address
270 LOVE FOX RD, BURNSVILLE, NC 28714-9109
(828) 682-3417
Mailing address
270 LOVE FOX RD, BURNSVILLE, NC 28714-9109
(828) 682-3417

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
04/17/2018
Last updated
04/17/2018
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