Organization
CAPE FEAR MANOR
Active
Organization
CAPE FEAR MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON DANELLA (ADMINISTRATOR)
(910) 647-0509
Entity
Organization
Contact information
Practice address
53 S. SMITH ST., CLARKTON, NC 28433
(910) 647-0509
Mailing address
PO BOX 489, CLARKTON, NC 28433-0489
(910) 647-0509
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-009-001
NC
311ZA0620X
Adult Care Home Facility
HAL-009-001
NC
Other
Enumeration date
12/28/2006
Last updated
01/02/2008
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