Organization
KYRIE HEALTH PROPERTIES 1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE STAMEY (PRESIDENT)
(336) 849-4051
Entity
Organization
Contact information
Practice address
1902 ORA DR, STATESVILLE, NC 28625-6343
(704) 878-6376
Mailing address
1725 FRED HINSHAW RD, YADKINVILLE, NC 27055-7342
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL049026
NC
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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