Organization
ANGELS AT HEART ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARETTA S BOWERS (ADMINSTRATOR)
(704) 232-1770
Entity
Organization
Contact information
Practice address
140 KENT ROAD, SALISBURY, NC 28147
(704) 431-4468
Mailing address
140 KENT RD, SALISBURY, NC 28147
(704) 232-1770
(704) 727-4979
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
HAL-080-020
NC
Other
Enumeration date
11/28/2016
Last updated
12/09/2016
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