Organization
CMBA LLC
Active
Other names
Brookstone Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY L DUBE (DIRECTOR)
(336) 766-5000
Entity
Organization
Contact information
Practice address
4430 CLINARD RD, CLEMMONS, NC 27012-8487
(336) 766-5000
Mailing address
PO BOX 1682, CLEMMONS, NC 27012-1682
(336) 766-5000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL034-080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803623
—
NC
Enumeration date
03/11/2008
Last updated
03/11/2008
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