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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