Organization
QUEEN RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA MEDFORD (ADMINISTRATOR)
(828) 456-9240
Entity
Organization
Contact information
Practice address
465 BOYD AVE, WAYNESVILLE, NC 28786-4317
(828) 456-9240
Mailing address
465 BOYD AVE, WAYNESVILLE, NC 28786-4317
(828) 456-9240
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-044-030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802029
—
NC
Enumeration date
03/13/2008
Last updated
03/13/2008
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