Organization
WAKE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH C BURRELL (PARTNER)
(803) 230-1555
Entity
Organization
Contact information
Practice address
2800 KIDD RD, RALEIGH, NC 27610-1842
(919) 231-7575
(919) 231-3773
Mailing address
2800 KIDD RD, RALEIGH, NC 27610-1842
(919) 231-7575
(919) 231-3773
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL092117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805522
—
NC
Enumeration date
01/29/2007
Last updated
06/25/2008
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