Organization
ALTA WALK ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KATHLEEN ELIZABETH VIDAL (EXECUTIVE DIRECTOR)
(919) 401-0100
Entity
Organization
Contact information
Practice address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(919) 401-0100
(919) 544-8402
Mailing address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(919) 401-0100
(919) 544-8402
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL032094
NC
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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