Organization
CHASTITYS PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY H HORTON (OWNER)
(704) 283-4186
Entity
Organization
Contact information
Practice address
12621 IDLEWILD RD, MATTHEWS, NC 28105-0841
(704) 841-0660
(704) 841-0660
Mailing address
12621 IDLEWILD ROAD, MATTHEWS, NC 28105-0841
(704) 841-0660
(704) 841-0660
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409509
—
NC
Enumeration date
12/11/2006
Last updated
08/26/2008
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