Organization
LUMBERTON HEALTH CARE, INC.
Active
Other names
The Hermitage Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDY EPPS CLICK (CONTROLLER)
(910) 875-4551
Entity
Organization
Contact information
Practice address
550 BAILEY RD, LUMBERTON, NC 28358-2424
(910) 738-7281
Mailing address
PO BOX 1010, RAEFORD, NC 28376-1010
(910) 875-4551
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-078-004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801307
—
NC
Enumeration date
09/20/2006
Last updated
09/23/2008
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