Organization
DELOATCHS REST VILLA II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY DELOATCH (ADMINISTRATOR)
(252) 398-3662
Entity
Organization
Contact information
Practice address
106 LEWISTOWN RD, MURFREESBORO, NC 27855-9322
(252) 398-3662
(252) 398-3662
Mailing address
106 LEWISTOWN RD, MURFREESBORO, NC 27855
(252) 398-3662
(252) 398-3662
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
10/24/2012
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