Organization
HERTFORD PLACE, LLC
Active
Other names
DBA PINEWOOD MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
GUY S PIERCE (MANAGING MEMBER)
(336) 595-1075
Entity
Organization
Contact information
Practice address
240 S EARLY STATION RD, AHOSKIE, NC 27910-9378
(252) 332-4681
Mailing address
PO BOX 1487, KERNERSVILLE, NC 27285-1487
(336) 595-1075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-046-016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804340
—
NC
Enumeration date
10/26/2006
Last updated
08/22/2020
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