Organization
LAWNDALE MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LARRY WHALEY (PRESIDENT)
(919) 662-0099
Entity
Organization
Contact information
Practice address
601 LAKESIDE DR, GARNER, NC 27529-4216
(919) 662-0099
(919) 662-1166
Mailing address
PO BOX 1325, GARNER, NC 27529-1325
(919) 662-0099
(919) 662-1166
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL092017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801452
—
NC
Enumeration date
01/30/2007
Last updated
08/22/2020
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