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Organization

SOUTHERN SEASONS RETIREMENT HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEAN EVANS (OWNER)
(336) 229-9900
Entity
Organization

Contact information

Practice address
625 LANE ST, BURLINGTON, NC 27217-2473
(336) 229-9900
(336) 229-9900
Mailing address
625 LANE ST, BURLINGTON, NC 27217-2473
(336) 229-9900
(336) 229-9900

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801761
NC
Enumeration date
04/19/2007
Last updated
01/17/2008
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