Organization
CARILLON ASSISTED LIVING OF WAKE FOREST LLC
Active
Parent organization
CARILLON ASSISTED LIVING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARILLON ASSISTED LIVING, LLC
Authorized official
MRS. KAREN ELENA MORIARTY (PRESIDENT AND CEO)
(919) 852-4000
Entity
Organization
Contact information
Practice address
3218 HERITAGE TRADE DR, WAKE FOREST, NC 27587-4238
(919) 569-2101
(919) 569-2102
Mailing address
3218 HERITAGE TRADE DR, WAKE FOREST, NC 27587-4238
(919) 569-2101
(919) 569-2102
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
HAL-092-193
NC
Other
Enumeration date
07/10/2014
Last updated
09/15/2014
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