Organization
GOLDEN YEARS REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULETTE ARROWOOD WELLMON (OWNER/ADMINISTRATOR)
(704) 472-0624
Entity
Organization
Contact information
Practice address
630 SUGAR HILL RD, LAWNDALE, NC 28090-9493
(704) 472-0624
Mailing address
630 SUGAR HILL RD, LAWNDALE, NC 28090-9493
(704) 472-0624
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL023-041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306913777
—
NC
Enumeration date
02/07/2011
Last updated
02/07/2011
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