Organization
GLENCARE ASSISTED LIVING, INC.
Active
Other names
Glencare Assisted Living, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAN ANNE KORNEGAY R.N. NHA V.P. (VICE PRESIDENT)
(910) 275-0058
Entity
Organization
Contact information
Practice address
2773 PINEWOOD HOME DR, PINK HILL, NC 28572-9555
(252) 568-6167
(252) 568-7457
Mailing address
PO BOX 339, KENANSVILLE, NC 28349-0339
(910) 275-0058
(910) 275-0093
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL054051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805556
—
NC
Enumeration date
02/05/2007
Last updated
08/22/2020
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