Organization
EC SOUTHERN PINES OPERATIONS, LLC
Active
Other names
Elmcroft of Southern Pines
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. PATRICK MULLOY II (PRESIDENT)
(502) 753-6001
Entity
Organization
Contact information
Practice address
101 BRUCEWOOD RD, SOUTHERN PINES, NC 28387-5159
(910) 692-4928
(910) 692-0899
Mailing address
9510 ORMSBY STATION RD, LOUISVILLE, KY 40223-4081
(502) 753-6000
(502) 753-6100
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-063-020
NC
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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