Organization
SPRING VILLAGE REST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMIE C TAYLOR (ADMINISTRATOR)
(910) 865-5445
Entity
Organization
Contact information
Practice address
508 WORTH ST, SAINT PAULS, NC 28384-0472
(910) 865-5445
(910) 865-5445
Mailing address
PO BOX 472, SAINT PAULS, NC 28384-0472
(910) 865-5445
(910) 865-5445
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL078016
NC
Other
Enumeration date
05/04/2007
Last updated
09/07/2007
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