Organization
ALDORAH SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY M MASSEY (MANAGER)
(910) 220-5785
Entity
Organization
Contact information
Practice address
200 N MAIN ST, CANDOR, NC 27229-9106
(910) 220-0092
Mailing address
PO BOX 412, CANDOR, NC 27229-0412
(910) 220-5785
(912) 222-3157
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
FCL-062-017
NC
311ZA0620X
Adult Care Home Facility
Primary
FCL-062-018
NC
311ZA0620X
Adult Care Home Facility
FCL-062-019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FCL-062-019
NC DHHS
NC
Enumeration date
09/10/2018
Last updated
09/10/2018
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