Organization
CARILLON ASSISTED LIVING OF KNIGHTDALE, LLC
Active
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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