Organization
ULTIMATE CARE ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALICIA THOMPSON (OWNER)
(336) 327-2861
Entity
Organization
Contact information
Practice address
104 THE BLVD, EDEN, NC 27288-4704
(352) 219-2262
Mailing address
1203 IRVING AVE, EDEN, NC 27288-5541
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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