Organization
PINE GARDENS ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE A HARRIS (ADMINSTRATOR)
(919) 693-2984
Entity
Organization
Contact information
Practice address
6016 PINETOWN RD, OXFORD, NC 27565-7955
(919) 693-2984
(919) 603-0287
Mailing address
6016 PINETOWN RD, OXFORD, NC 27565-7955
(919) 693-2984
(919) 603-0287
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-039-004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802157
—
NC
Enumeration date
04/16/2007
Last updated
08/22/2020
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