Organization
AVERSBORO ASSISTED LIVING OF GARNER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH BLAINE CAMPBELL III (MEMBER)
(919) 779-4560
Entity
Organization
Contact information
Practice address
1437 AVERSBORO RD, GARNER, NC 27529-4546
(919) 779-4560
(919) 779-1035
Mailing address
PO BOX 829, GARNER, NC 27529-0829
(919) 779-4560
(919) 779-1035
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-092-128
NC
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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