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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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