Organization
FOREST TRAIL OF CLINTON, LLC
Active
Other names
The Magnolia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA A HALLMAN (CONTROLLER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
213 FOREST TRL, CLINTON, NC 28328-3353
(910) 592-7506
(910) 592-7604
Mailing address
213 FOREST TRL, CLINTON, NC 28328-3353
(910) 592-7506
(910) 592-7604
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL082014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805300
—
NC
Enumeration date
09/23/2005
Last updated
12/15/2008
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