Organization
TAR RIVER LTC GROUP, LLC
Active
Other names
Open Fields Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
3210 WESTERN BLVD, TARBORO, NC 27886-1828
(252) 823-8546
(252) 823-3878
Mailing address
3210 WESTERN BLVD, TARBORO, NC 27886-1828
(252) 823-8546
(252) 823-3878
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL033001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806623
—
NC
Enumeration date
06/22/2006
Last updated
04/10/2017
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