Organization
OPENVIEW RETIREMENT HOME INCORPARATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY WELLMON (ADMINISTARTOR)
(704) 538-8026
Entity
Organization
Contact information
Practice address
112 PONY BARN RD, LAWNDALE, NC 28090-9466
(704) 538-8026
(704) 538-3295
Mailing address
112 PONY BARN RD, LAWNDALE, NC 28090-9466
(704) 538-8026
(704) 538-3295
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL023004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803450
—
NC
Enumeration date
03/14/2007
Last updated
08/22/2020
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