Organization
EC OPCO SOUTHERN PINES, LP
Active
Other names
ELMCROFT OF SOUTHERN PINES
Organization subpart
No
Provider details
NPI number
Authorized official
AMY W. FLEMING (CONTROLLER OF MANAGEMENT COMPANY)
(971) 227-3922
Entity
Organization
Contact information
Practice address
101 BRUCEWOOD RD, SOUTHERN PINES, NC 28387-5159
(910) 692-4928
(910) 692-0899
Mailing address
5885 MEADOWS RD STE 500, LAKE OSWEGO, OR 97035-8646
(971) 213-4234
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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