Organization
NOATIONS DBA
Active
Other names
THE VILLAGES OF WILKES TRAD. LIV. INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KENDRA TRIVETTE (ADMINISTRATOR)
(336) 667-2211
Entity
Organization
Contact information
Practice address
206 OLD BRICKYARD RD., N WILKESBORO, NC 28659-1227
(336) 667-2211
(336) 667-8199
Mailing address
PO BOX 1227, 206 OLD BRICKYARD RD., N WILKESBORO, NC 28659-1227
(336) 667-2211
(336) 667-8199
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804999
—
NC
Enumeration date
01/12/2007
Last updated
07/31/2008
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