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Organization

T & S HOMEPLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELBIA NORRIS (OWNER)
(910) 323-3797
Entity
Organization

Contact information

Practice address
1808 CONOVER DR, FAYETTEVILLE, NC 28304-4562
(910) 323-3797
Mailing address
1122 CEDAR CREEK RD, FAYETTEVILLE, NC 28312-6544
(910) 323-3797

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL026661
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804444
NC
Enumeration date
07/30/2009
Last updated
07/30/2009
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