Organization
HERMITAGE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY OSTAPOWICZ (ADMINISTRATOR)
(910) 675-2988
Entity
Organization
Contact information
Practice address
4724 CASTLE HAYNE RD, CASTLE HAYNE, NC 28429-6403
(910) 675-2988
Mailing address
4724 CASTLE HAYNE RD, CASTLE HAYNE, NC 28429-6403
(910) 675-2988
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL065001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801228
—
NC
Enumeration date
03/01/2007
Last updated
08/22/2020
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