Organization
PATTON GROUP, LLC
Active
Other names
Evans Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY W PATTON (MEMBER MANAGER)
(434) 509-4060
Entity
Organization
Contact information
Practice address
110 ROOSEVELT STREET, MOUNT GILEAD, NC 27306
(910) 439-4224
Mailing address
1045 MAIN ST STE 4, DANVILLE, VA 24541-1800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL062004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805245
—
NC
Enumeration date
12/01/2006
Last updated
08/22/2020
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