Organization
LIFE STAGES ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOREY MORRIS (ADMINISTRATOR)
(732) 330-8683
Entity
Organization
Contact information
Practice address
424 GLOVENIA ST, EDEN, NC 27288-4844
(336) 623-1093
Mailing address
PO BOX 3066, MARTINSVILLE, VA 24115-3066
(732) 330-8683
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-079-100
NC
Other
Enumeration date
10/21/2015
Last updated
10/26/2015
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