Organization
CARILLON ASSISTED LIVING OF FAYETTEVILLE, LLC
Active
Other names
Carillon Assisted Living of Fayetteville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MARK JOHNSON (CHIEF FINANCIAL OFFICER)
(919) 852-4000
Entity
Organization
Contact information
Practice address
1164 71ST SCHOOL RD, FAYETTEVILLE, NC 28314-2817
(919) 852-4000
(919) 852-4001
Mailing address
4901 WATERS EDGE DR, SUITE 200, RALEIGH, NC 27606-2464
(919) 852-4000
(919) 852-4001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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