Organization
B & B ASSISTED LIVING 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BEVERLY MAYNOR (ADMINISTRATOR)
(910) 521-7335
Entity
Organization
Contact information
Practice address
2133 PRESTON RD, MAXTON, NC 28364-8697
(910) 521-7335
(910) 522-0655
Mailing address
2133 PRESTON RD, MAXTON, NC 28364-8697
(910) 521-7335
(910) 522-0655
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL078096
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804689
—
NC
05
—
7805029
—
NC
05
—
7805242
—
NC
Enumeration date
11/26/2007
Last updated
06/04/2014
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