Organization
MONARCH
Active
Other names
NIVEN AVENUE
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JONES (CFO)
(704) 986-1522
Entity
Organization
Contact information
Practice address
715 NIVEN AVE, RAEFORD, NC 28376-3017
(910) 904-0361
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4945
(704) 986-1500
(704) 982-5279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL 047 128
NC
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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