Organization
CUMBERLAND VILLAGE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEAN WILSON (MANAGING PARTNER)
(336) 495-2700
Entity
Organization
Contact information
Practice address
1124 CEDAR CREEK RD, FAYETTEVILLE, NC 28312-6544
(910) 323-8212
Mailing address
PO BOX 814, RANDLEMAN, NC 27317-0814
(336) 495-2723
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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