Organization
NANA'S ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINA KELLY RIPPY (OWNER/OPEATOR)
(910) 527-6606
Entity
Organization
Contact information
Practice address
1114 MONTREAT RD, BLACK MOUNTAIN, NC 28711-3232
(910) 527-6606
(910) 527-6606
Mailing address
133 BANKROFT CT, RAEFORD, NC 28376-7628
(910) 527-6606
(910) 527-6606
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL011331
NC
310400000X
Assisted Living Facility
HAL045116
NC
310400000X
Assisted Living Facility
HAL045117
NC
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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