Organization
SHIRLEY J CARSWELL
Active
Other names
Country Pines Adult Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY J CARSWELL (ADMINISTRATOR)
(828) 438-2886
Entity
Organization
Contact information
Practice address
5409 ROB CARSWELL ST, MORGANTON, NC 28655-9438
(828) 438-2886
(828) 437-0429
Mailing address
5415 ROB CARSWELL ST, MORGANTON, NC 28655-9438
(828) 438-2886
(828) 437-0429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
FCL 012017
NC
310400000X
Assisted Living Facility
Primary
FCL 012026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802855
—
NC
05
—
7805376
—
NC
Enumeration date
04/04/2007
Last updated
07/08/2008
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