Organization
RAINTREE HEALTHCARE OF TABOR CITY, LLC
Active
Other names
Waterbrooke Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REEMA OWENS (OWNER/EXECUTIVE DIRECTOR)
(704) 763-6300
Entity
Organization
Contact information
Practice address
703 ELIZABETH ST, TABOR CITY, NC 28463-2603
(910) 653-6400
(910) 653-5081
Mailing address
PO BOX 668611, CHARLOTTE, NC 28266-8611
(910) 653-6400
(803) 631-3939
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL024010
NC
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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