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Organization

BETTY G WELLMON

Active
Other names
Golden Years Rest Home
Organization subpart
No

Provider details

NPI number
Authorized official
BETTY WELLMON (OWNER)
(704) 538-8855
Entity
Organization

Contact information

Practice address
628 SUGAR HILL RD, LAWNDALE, NC 28090-9493
(704) 538-8855
Mailing address
630 SUGAR HILL RD, LAWNDALE, NC 28090-9493

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 023-002
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7802405
NC
Enumeration date
03/22/2007
Last updated
06/17/2008
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