Organization
WELLINGTON PARK OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CRUMMIE NC ADMINISTRATOR (ADMINISTRATOR)
(910) 296-0333
Entity
Organization
Contact information
Practice address
329 COOPER STREET, KENANSVILLE, NC 28349
(910) 296-0333
(910) 296-6101
Mailing address
329 COOPER STREET, KENANSVILLE, NC 28349
(910) 296-0333
(910) 296-6101
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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