Organization
FIVE STAR QUALITY CARE- NORTH CAROLINA, LLC
Active
Parent organization
FIVE STAR QUALITY CARE- NORTH CAROLINA,LLC
Other names
The Havens in the Village at Carolina Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE- NORTH CAROLINA,LLC
Authorized official
BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8214
Entity
Organization
Contact information
Practice address
13180 DORMAN ROAD, PINEVILLE, NC 28134
(704) 540-0155
(704) 540-8007
Mailing address
400 CENTRE STREET, NEWTON, MA 02458
(617) 796-8160
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
HAL-060-107
NC
Other
Enumeration date
10/24/2008
Last updated
06/27/2016
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