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Organization

CAROLINA CARE OF HALIFAX, LLC

Active
Other names
DBA CAROLINA REST HOME
Organization subpart
No

Provider details

NPI number
Authorized official
GUY S PIERCE (MANAGING MEMBER)
(336) 595-1075
Entity
Organization

Contact information

Practice address
1361 CAROLINA REST HOME RD, ROANOKE RAPIDS, NC 27870-8653
(252) 533-0014
Mailing address
PO BOX 1487, KERNERSVILLE, NC 27285-1487
(336) 595-1075

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-042-005
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804714
NC
Enumeration date
10/26/2006
Last updated
08/22/2020
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