Organization
HOLMAN-HAMPTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE LEVETTE HAMPTON (ADMINISTRATOR)
(336) 589-0239
Entity
Organization
Contact information
Practice address
1031 SHARPE AVE, EDEN, NC 27288-3729
(336) 627-0213
Mailing address
PO BOX 222, EDEN, NC 27289-0222
(336) 627-0239
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-079-062
NC
310400000X
Assisted Living Facility
FCL-079-063
NC
310400000X
Assisted Living Facility
FCL-079-064
NC
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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