Organization
PRIMROSE VILLA
Active
Organization
PRIMROSE VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLICENT SHYLLON (ADMINISTRATOR)
(919) 639-8998
Entity
Organization
Contact information
Practice address
431 JUNNY ROAD, ANGIER, NC 27501
(919) 639-8998
(919) 639-8998
Mailing address
PO BOX 1091, ANGIER, NC 27501-1091
(919) 639-8998
(919) 639-8998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-043019
NC
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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