Organization
THE STAFFORD GROUP, INC.
Active
Organization
THE STAFFORD GROUP, INC.
Active
Other names
Stafford Glen Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP GLENN BATTEN (PRESIDENT)
(252) 752-3402
Entity
Organization
Contact information
Practice address
2060 W 5TH ST, GREENVILLE, NC 27834-9160
(252) 752-3402
(252) 754-2367
Mailing address
PO BOX 7386, GREENVILLE, NC 27835-7386
(252) 752-3402
(252) 754-2367
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-074-030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805410
—
NC
Enumeration date
02/05/2007
Last updated
08/22/2020
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