Organization
FAIR HAVEN OF FOREST CITY LLC
Active
Other names
FAIR HAVEN OF FOREST CITY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J CILONE (CFO)
(828) 245-9095
Entity
Organization
Contact information
Practice address
830 BETHANY CHURCH RD, FOREST CITY, NC 28043-8106
(828) 245-2852
(828) 248-2590
Mailing address
149 FAIRHAVEN DR, BOSTIC, NC 28018-8759
(828) 245-9095
(828) 245-7856
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0474
NC
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
01/14/2016
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