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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