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Organization

WEST WINDS ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY JACOBS (OWNER)
(910) 442-5660
Entity
Organization

Contact information

Practice address
1241 GOINS RD, PEMBROKE, NC 28372-8347
(910) 521-0853
(910) 521-5755
Mailing address
PO BOX 3458, PEMBROKE, NC 28372-3458
(910) 521-0853
(910) 521-5755

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-078-086
NC
3104A0625X
Assisted Living Facility (Mental Illness)
FCL-078-086
NC
311Z00000X
Custodial Care Facility
FCL-078-086
NC
311ZA0620X
Adult Care Home Facility
FCL-078-086
NC

Other

Enumeration date
08/29/2011
Last updated
07/12/2022
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