Organization
CROSS CREEK MANOR ASSISTED LIVING LLC
Active
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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