Organization
CROSS CREEK MANOR ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY LEE TRUTENKO (OWNER)
(910) 488-4821
Entity
Organization
Contact information
Practice address
231 TREETOP DR, FAYETTEVILLE, NC 28311-0606
(910) 488-4821
(910) 488-5069
Mailing address
231 TREETOP DR, FAYETTEVILLE, NC 28311-0606
(910) 488-4821
(910) 488-5069
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 026-050
NC
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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