Organization
LOUISBURG SENIOR VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL DIANNE TITUES'JONES (PRESIDENT)
(919) 496-1611
Entity
Organization
Contact information
Practice address
1233 HWY 56 EAST, LOUISBURG, NC 27549
(919) 496-1611
(919) 496-3714
Mailing address
1233 HWY 56 EAST, LOUISBURG, NC 27549
(919) 496-1611
(919) 496-3714
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL035011
NC
Other
Enumeration date
02/02/2007
Last updated
09/01/2011
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