Organization
ROSE VISTA ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DAVID BRADY (MEMBER)
(828) 308-3533
Entity
Organization
Contact information
Practice address
2130 ROSE VISTA RD, KINSTON, NC 28504-8230
(828) 308-3533
Mailing address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(828) 308-3533
(919) 957-8915
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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