Organization
COUNTRY LIVING ESTATES, INC
Active
Organization
COUNTRY LIVING ESTATES, INC
Active
Other names
Country Living Estates Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA MOORE (ADMINISTRATOR)
(910) 484-1701
Entity
Organization
Contact information
Practice address
4761 DRAUGHON RD, FAYETTEVILLE, NC 28312-8480
(910) 484-1701
(910) 484-1703
Mailing address
4761 DRAUGHON RD, FAYETTEVILLE, NC 28312-8480
(910) 484-1701
(910) 484-1703
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
311ZA0620X
Adult Care Home Facility
—
NC
344600000X
Taxi
—
NC
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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