Organization
CARILLON ASSISTED LIVING OF KNIGHTDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MARK JOHNSON (CHIEF FINANCIAL OFFICER)
(919) 852-4000
Entity
Organization
Contact information
Practice address
2408 HODGE RD, KNIGHTDALE, NC 27545-9386
(919) 852-4000
(919) 852-4001
Mailing address
4901 WATERS EDGE DR, RALEIGH, NC 27606-2464
(919) 852-4000
(919) 852-4001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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