Organization
PROVIDENCE HEALTHCARE OF THE CAROLINAS
Active
Organization
PROVIDENCE HEALTHCARE OF THE CAROLINAS
Active
Other names
Providence Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERMAINE MOORE (EXECUTIVE DIRECTOR)
(919) 247-4760
Entity
Organization
Contact information
Practice address
4302 HWY NC 210, SMITHFIELD, NC 27577
Mailing address
PO BOX 464, WENDELL, NC 27591-0464
(919) 247-4760
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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