Organization
PERSON HEALTH MANAGEMENT, LLC
Active
Other names
Canterbury House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA A HALLMAN (CONTROLLER)
(828) 324-8898
Entity
Organization
Contact information
Practice address
1284 LEASBURG RD, ROXBORO, NC 27574-8485
(336) 330-0108
(336) 330-0112
Mailing address
1284 LEASBURG RD, ROXBORO, NC 27574-8485
(336) 330-0108
(336) 330-0112
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL073002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803724
—
NC
Enumeration date
09/23/2005
Last updated
08/22/2020
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