Organization
AURORA OF STATESVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA K PETERSON (MEMBER MANAGER)
(704) 502-3210
Entity
Organization
Contact information
Practice address
1902 ORA DR, STATESVILLE, NC 28625-6343
(704) 878-6376
(704) 878-6787
Mailing address
842 W 4TH ST, WINSTON SALEM, NC 27101-2502
(336) 722-8012
(336) 722-8063
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL049028
NC
Other
Enumeration date
10/06/2009
Last updated
11/17/2009
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