Organization
EARL ENTERPRISES INC
Active
Other names
Creekside Villas
Organization subpart
No
Provider details
NPI number
Authorized official
JACI REYNOLDS (BUSINESS MANAGER)
(828) 456-8365
Entity
Organization
Contact information
Practice address
465 BOYD AVE, WAYNESVILLE, NC 28786-4317
(828) 456-9240
(828) 456-9012
Mailing address
251 SHELTON ST, WAYNESVILLE, NC 28786-3362
(828) 456-8365
(828) 597-0042
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-044-044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAL-044-044
NC DHHS LICENSE:
NC
Enumeration date
08/08/2013
Last updated
08/08/2013
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