Organization
BUT GOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA GRIGGS (ADMINSTRATOR)
(336) 432-7141
Entity
Organization
Contact information
Practice address
1408 W FIELDCREST RD, EDEN, NC 27288-3932
(336) 635-9347
Mailing address
1408 W FIELDCREST RD, EDEN, NC 27288-3932
(336) 635-9347
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
FCL079056
NC
310400000X
Assisted Living Facility
Primary
FCL079095
NC
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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