Organization
STANLEY TOTAL LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BRYANT (CONTROLLER)
(704) 263-1986
Entity
Organization
Contact information
Practice address
514 OLD MOUNT HOLLY RD, STANLEY, NC 28164-2191
(704) 263-7155
(704) 263-8959
Mailing address
PO BOX 489, STANLEY, NC 28164-0489
(704) 263-7155
(704) 263-8959
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0386
NC
311ZA0620X
Adult Care Home Facility
Primary
NH0386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801259
—
NC
Enumeration date
12/21/2007
Last updated
05/28/2013
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