Organization
CEDAR CREEK ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH BLAINE CAMPBELL III (MEMBER)
(919) 656-6735
Entity
Organization
Contact information
Practice address
1124 CEDAR CREEK RD, FAYETTEVILLE, NC 28312-6544
(910) 323-8218
(910) 485-0890
Mailing address
PO BOX 829, GARNER, NC 27529-0829
(910) 323-8218
(910) 485-0890
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-026-051
NC
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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