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Organization

PROVIDENCE PLACE ASSISTED LIVING, INC.

Active
Other names
Wesleyan Arms, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS HIGGINS (PRESIDENT/CEO)
(336) 888-4568
Entity
Organization

Contact information

Practice address
630 WHITTIER AVENUE, HIGH POINT, NC 27262-7602
(336) 888-6777
(336) 888-4663
Mailing address
1701 WESTCHESTER DRIVE, SUITE 400, HIGH POINT, NC 27262
(336) 888-4568
(336) 888-4663

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL041047
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804713
NC
Enumeration date
10/03/2006
Last updated
03/16/2015
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