Organization
BROOKSTONE HAVEN OF STAR ASSISTED LIVING, LLC
Active
Other names
Brookstone Haven of Star
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEAN WILSON (MANAGING MEMBER)
(336) 495-2700
Entity
Organization
Contact information
Practice address
327 FREEMAN ST, STAR, NC 27356-7623
(910) 428-2101
Mailing address
PO BOX 814, RANDLEMAN, NC 27317-0814
(336) 495-2700
(336) 495-5552
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
HAL-06-2014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806556
—
NC
Enumeration date
04/27/2009
Last updated
06/13/2013
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