Organization
SOVRAN SENIOR LIVING, LLC
Active
Other names
SSL OF MOUNT OLIVE NC LLC, WAYLIN LIFE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORENE M FORD (DIRECTOR OF MIS)
(239) 659-4900
Entity
Organization
Contact information
Practice address
600 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-2632
(919) 658-6501
(919) 658-6799
Mailing address
1400 CENTREPARK BLVD STE 810, WEST PALM BEACH, FL 33401-7412
(239) 659-4900
(239) 963-3410
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
06/16/2018
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