Organization
DIXIE REST HOME 2
Active
Organization
DIXIE REST HOME 2
Active
Other names
Woodhaven Rest Home 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD W WOOD PRESIDENT (ADMINISTRATOR)
(252) 445-5665
Entity
Organization
Contact information
Practice address
311 EAST BRYANT STREET, ENFIELD, NC 27823
(252) 445-5665
(252) 445-4323
Mailing address
PO BOX 129, 311 EAST BRYANT STREET, ENFIELD, NC 27823
(252) 445-5665
(252) 445-4323
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL042003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801491
—
NC
Enumeration date
11/13/2006
Last updated
08/22/2020
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