Organization
SOVRAN SENIOR LIVING, LLC
Active
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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