Organization
ARK CHASM MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKWIASDI REVELS (OWNER)
(704) 682-7197
Entity
Organization
Contact information
Practice address
1510 DEEP RIVER RD, HIGH POINT, NC 27265-3448
(336) 883-6023
Mailing address
1510 DEEP RIVER RD, HIGH POINT, NC 27265-3448
(336) 883-6023
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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