Organization
HEARTS OF GOLD II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MOORE (MANAGER)
(336) 350-0296
Entity
Organization
Contact information
Practice address
207 FRIENDLY RD, BURLINGTON, NC 27217-2501
(336) 358-6081
(336) 358-6081
Mailing address
PO BOX 5144, BURLINGTON, NC 27216-5144
(336) 358-6081
(336) 358-6081
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-001-124
NC
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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