Organization
ROSEMONT REST HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLITA MOUJAHED (OWNER)
(910) 318-9667
Entity
Organization
Contact information
Practice address
602 GLENDALE AVE, LUMBERTON, NC 28358-6724
(910) 318-9667
(910) 276-9223
Mailing address
PO BOX 2804, PEMBROKE, NC 28372-2804
(910) 318-9667
(910) 276-9223
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-078-020
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804164
—
NC
Enumeration date
02/01/2007
Last updated
08/22/2020
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